title: Planned approach to the management of malignant invasion of the carotid artery.
abstract: A planned approach to the evaluation and management of patients with tumor involvement of the cervical carotid artery is presented. Preoperative arteriography and determination of carotid back-pressure permitted a rational approach in these high risk patients. One patient found to have an extremely low carotid back-pressure was advised not to undergo carotid resection. Six patients with satisfactory carotid back-pressure tolerated carotid resection and reconstruction.
mesh_terms: D001794:Blood Pressure; D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D002339:Carotid Arteries / Q000502:physiology; D002340:Carotid Artery Diseases / Q000601:surgery*; D002345:Carotid Body Tumor / Q000601:surgery*; D002404:Catheterization; D002561:Cerebrovascular Disorders / Q000209:etiology; D005260:Female; D006258:Head and Neck Neoplasms / Q000601:surgery*; D006801:Humans; D008026:Ligation / Q000009:adverse effects; D008297:Male; D008875:Middle Aged; D011300:Preoperative Care; D012306:Risk; D012501:Saphenous Vein / Q000637:transplantation; D014182:Transplantation, Autologous