[New methods of surgery on the arteries supplying the brain].
BACKGROUND
Brain ischaemia as a sequelae of atherosclerosis involving the brain-supplying arteries is one of the commonest causes of death in the industrialized nations.


METHODS
A total of 236 procedures on the internal and common carotid arteries in 227 patients with a mean age of 67 years were performed. General anaesthesia was used in 18.5% of patients, cervical block in 81.5%.


RESULTS
The hospitalization morbidity of our group of patients was 8.9%, hospitalization mortality was zero. No association between the technique of anaesthesia and morbidity was found. However, cervical block allowed a marked shortening of postoperative hospitalization time from 5.5 days to 2 days.


CONCLUSIONS
The results obtained justify surgical procedures on the internal and common carotid arteries even in asymptomatic stenoses, and are especially useful before a scheduled cardiac surgical or vascular surgical procedure.
Bartos
J
J
II. chirurgická klinika kardiovaskulární chirurgie Vseobecné fakultní nemocnice a 1. lékarské fakulty Univerzity Karlovy, Praha, Czech Republic.
Stríteský
M
M
Vanĕk
I
I
D000368:Aged; D001161:Arteriosclerosis / Q000601:surgery; D017536:Carotid Artery, Common / Q000601:surgery; D002343:Carotid Artery, Internal / Q000601:surgery; D016893:Carotid Stenosis / Q000601:surgery; D016894:Endarterectomy, Carotid / Q000009:adverse effects / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged
Nová taktika operací tepen zásobujících mozek.