Elective carotid artery resection.
Publication/Presentation Date
12-1-1975
Abstract
A retrospective study of carotid artery resection disclosed a 64% mortality when resection was performed on an emergency basis, as compared with 14% when the surgery was undertaken electively. This concurs with other studies that have demonstrated increased survival rates when elective carotid artery resection has superseded carotid artery rupture, and reemphasizes the need for a more accurate means of predicting individual tolerance for loss of the carotid artery. Use of the ocular plethysmograph (OPG) is proposed as a simple and accurate means of evaluating the adequacy of collateral hemispheric blood flow to compensate for a potentially resectable carotid artery. Eleven patients have been evaluated using this technique. Nine were predicted to successfully tolerate carotid artery resection, while intolerance was predicted for the remaining two. Four of the nine patients have undergone resection of the artery with no neurologic sequelae to date.
Volume
101
Issue
12
First Page
744
Last Page
747
ISSN
0003-9977
Published In/Presented At
Martinez, S. A., Oller, D. W., Gee, W., & deFries, H. O. (1975). Elective carotid artery resection. Archives of otolaryngology (Chicago, Ill. : 1960), 101(12), 744–747. https://doi.org/10.1001/archotol.1975.00780410036008
Disciplines
Medicine and Health Sciences
PubMedID
1200922
Department(s)
Department of Surgery
Document Type
Article