Stenosis of one carotid artery with occlusion of the contralateral carotid.
23 patients with unilateral internal carotid artery stenosis (greater than 70%) and contralateral internal carotid artery occlusion in the neck are reported. The symptoms are referable to the side of the occlusion in 13 cases (57%), to the side of stenosis in 7 cases (30%) and non-localizing in 3 cases (13%). All 23 patients had a carotid endarterectomy performed on the side of the stenotic lesion. There was no operative mortality. Late neurological symptomatology after surgery was referable to the side of stenosis in 13% and to the side of occlusion in 9%. The authors consider that, in cases of significant stenosis (greater than 70%) of an internal carotid artery with a contralateral occlusion, preference should always be given to end-arterectomy of the stenotic side, reserving extra-intracranial by-pass of the occluded side for patients who remain symptomatic after endarterectomy of the stenotic side.
Cantore
G P
GP
Department of Neurological Sciences, Rome University, La Sapienza, Italy.
Santoro
A
A
Delfini
R
R
Mariottini
A
A
Palma
L
L
D000328:Adult; D000368:Aged; D001157:Arterial Occlusive Diseases / Q000150:complications* / Q000401:mortality / Q000601:surgery; D002340:Carotid Artery Diseases / Q000150:complications* / Q000401:mortality / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged