Management of penetrating injuries of the internal carotid artery at the base of the skull utilizing extracranial-intracranial bypass.
Penetrating injuries of the internal carotid artery at the base of the skull often require permanent or transient occlusion of the injured vessel during repair. Extracranial-intracranial bypass (EC-IC) was employed in five patients to insure adequate cerebral perfusion during cervical exploration. Preoperative neurologic deficits were noted in three patients; two demonstrated complete reversal following EC-IC. This experience suggests that EC-IC can maintain adequate cerebral perfusion during repair of internal carotid injuries and allow selective revascularization of patients with neurologic deficit and carotid occlusion.
D000328:Adult; D020212:Carotid Artery Injuries; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging / Q000601:surgery; D002548:Cerebral Revascularization; D006801:Humans; D008297:Male; D008866:Microsurgery; D011859:Radiography; D014948:Wounds, Gunshot / Q000601:surgery; D014950:Wounds, Penetrating / Q000601:surgery*