Diagnostic and therapeutic alternatives in patients with symptomatic "carotid occlusion" referred for extracranial-intracranial bypass surgery.

R. C. Heros, L. N. Sekhar

Research output: Contribution to journalArticlepeer-review

21 Scopus citations

Abstract

An increasing number of patients with symptomatic carotid artery occlusion are being referred for extracranial to intracranial bypass grafts. After careful clinical and angiographic assessment, a number of these patients have been treated with a direct approach to the carotid arteries in the neck or with anticoagulation rather than with a bypass graft. These patients may be categorized diagnostically under the following heading: 1) complete occlusion of the internal carotid artery (ICA) with intracranial patency; 2) spontaneous dissection of the ICA: 3) atheromatous pseudo-occlusion; 4) carotid artery occlusion with stenosis of the contralateral ICA; 5) occlusion of the ICA and stenosis of the external carotid artery; and 6) thrombus in the intracranial segment of an occluded ICA. Each of these categories is discussed briefly, and illustrative cases are presented.

Original languageEnglish (US)
Pages (from-to)790-796
Number of pages7
JournalJournal of neurosurgery
Volume54
Issue number6
DOIs
StatePublished - Jun 1981
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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