title: Revascularization of the internal carotid artery for isolated, stenotic, and symptomatic kinking.
abstract: OBJECTIVE
  The operation for isolated, stenotic, and symptomatic kinking of the internal carotid artery is safe and effective in preventing stroke and relieving the symptoms of cerebral ischemia.
  
  
  METHODS
  A consecutive sample clinical study with a mean follow-up of 44 months.
  
  
  METHODS
  The surgical department of an academic tertiary care center and an affiliated secondary care center.
  
  
  METHODS
  Fifty-four patients with a mean age of 67 years underwent 55 revascularizations of the internal carotid artery. The surgical procedures consisted of the following: shortening and reimplantation in the common carotid artery in 36 cases, bypass grafting in 15 cases, and transposition into the external carotid artery in 4 cases.
  
  
  METHODS
  Cumulative survival, primary patency, and stroke-free and neurologic symptom-free rates expressed by standard life-table analysis.
  
  
  RESULTS
  No patients died in the postoperative period. The postoperative stroke rate was 1.8%. The cumulative rates (SEs) at 5 years were as follows: survival, 70% (10.2%); primary patency, 89% (7.8%); overall stroke free, 92% (6.8%); ipsilateral stroke free, 96% (5.3%); neurologic symptom free, 90% (7.5%); and ipsilateral symptom free, 93% (6.5%).
  
  
  CONCLUSIONS
  Revascularization of the internal carotid artery for the treatment of isolated, stenotic, and symptomatic kinking is safe and effective in preventing stroke and relieving symptoms of cerebrovascular insufficiency.
authors.affiliation: Francesco Durante, Department of Surgical Sciences and Applied Technology, University of Rome La Sapienza, Via Vincenzo Bellini 14, 00198 Roma, Italy. giulio.illuminati@uniroma1.it
authors.forename: Giulio
authors.initials: G
authors.lastname: Illuminati
authors.forename: Francesco G
authors.initials: FG
authors.lastname: Calió
authors.forename: Vassilios
authors.initials: V
authors.lastname: Papaspyropoulos
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Montesano
authors.forename: Antonio
authors.initials: A
authors.lastname: D'Urso
mesh_terms: D000368:Aged; D002545:Brain Ischemia / Q000601:surgery; D002343:Carotid Artery, Internal / Q000601:surgery*; D016893:Carotid Stenosis / Q000401:mortality / Q000601:surgery*; D005260:Female; D006801:Humans; D015993:Life Tables; D008297:Male; D020521:Stroke / Q000517:prevention & control; D014654:Vascular Patency