PMID: 3746325Aug 1, 1986Paper

Carotid ligation: what happens in the long term?

Journal of Neurology, Neurosurgery, and Psychiatry
A N JhaR A Fawcitt

Abstract

The authors reviewed a consecutive series of 115 patients who underwent common carotid ligation during the period 1954-1984. Average follow-up was 10 years. Seventy-three (63%) patients presented following a subarachnoid haemorrhage (SAH) and 42 (36%) presented with the mass effect of an unruptured aneurysm. Thirty-nine (34%) patients were lost to follow-up of whom 27 had had a previous SAH. Forty-six (63%) of the 73 patients traced had suffered a SAH and amongst this group, 11 patients (24%) died from a proven or suspected recurrent haemorrhage within 10 years of ligation. The fatal recurrent haemorrhage rate was, therefore, 2.4%/year. Thirty (71%) of the 42 patients who presented with unruptured aneurysms were traced. Seven of these (23%) died: two following haemorrhage, 1 year and 16 years after carotid ligation and three patients died as a direct consequence of carotid ligation. Check angiographic studies were available for 55 patients following carotid ligation, a mean of 8.4 years after the procedure. Thirteen were conventional angiograms and 42 were intravenous angiograms obtained using the digital subtraction technique. Seventy-six per cent of the aneurysms visualised on the initial studies were either smaller or had ap...Continue Reading

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Citations

Jan 30, 2004·Lancet Neurology·Patrick MitchellA David Mendelow
Dec 8, 2010·Neurosurgery·Matthew R Fusco, Mark R Harrigan
Feb 6, 2013·Annals of Vascular Surgery·Steven Levin, Timothy Sullivan
May 4, 2004·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·R R SinghD Bouchier Hayes
Jan 1, 1990·British Journal of Neurosurgery·N V Todd
Oct 17, 2017·Frontiers in Surgery·Georgios KaraolanisSotiris Georgopoulos

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