Surgical treatment of cerebrovascular insufficiency in patients with pathological elongation of the internal carotid artery.
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.
Wiechowski
S W
SW
Cardiac Surgery Clinic, Pomeranian Medical Academy, Szczecin, Poland.
Mierzecki
A M
AM
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