title: Surgical treatment of cerebrovascular insufficiency in patients with pathological elongation of the internal carotid artery.
abstract: This study presents the results of surgery in 19 patients with cerebral ischaemia caused by an elongated internal carotid artery. Nine of them had a history of transient ischaemic attacks, eight-reversible stroke, and two-completed stroke. Angiography revealed a kink in 10 cases and a loop in 9. An aneurysm was also found in 2 cases. 8 re-implantations, 5 arterioplasties, 4 re-insertions and 2 aneurysmectomies were performed. Re-insertion was a supplementary procedure in 3 patients. There were no neurological complications, save one case of TIA. Follow-up studies during a period of 1 to 6 years revealed no recurrence of cerebral ischaemia.
authors.affiliation: Cardiac Surgery Clinic, Pomeranian Medical Academy, Szczecin, Poland.
authors.forename: S W
authors.initials: SW
authors.lastname: Wiechowski
authors.forename: A M
authors.initials: AM
authors.lastname: Mierzecki
mesh_terms: D002545:Brain Ischemia / Q000209:etiology / Q000601:surgery*; D002340:Carotid Artery Diseases / Q000150:complications* / Q000601:surgery; D002343:Carotid Artery, Internal / Q000473:pathology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged