PMID: 8963847Jan 1, 1996Paper

Emergency carotid endarterectomy in acute infarction--case report and literature review

Swiss Surgery = Schweizer Chirurgie = Chirurgie Suisse = Chirurgia Svizzera
L EisnerJ F Ammann

Abstract

Elective operation of carotid stenosis over 70% is uncontested since publication of the interim results of NASCET and ECST [1,2] trials. Even though emergency carotid endarterectomy for rapidly progressing cerebral infarction (stroke in evolution) remains very controversial outcome depends on how fast cerebral perfusion is reestablished, complete recovery is possible if carotid thrombendarterectomy is successfully performed in between the first 6-8 hours. We report the case of a female patient developing a cerebral infarction on the first postoperative day after femoropopliteal bypass grafting. Diagnosis of an acute carotid occlusion was established by cerebral duplex sonography, intracerebral hemorrhage was excluded by emergency computed tomography. Emergency thrombendarterectomy successfully reverted all cerebral symptoms. Postoperative course was uneventful, the patient was dismissed on the 12th postoperative day without any neurological residual deficit.

Related Concepts

Related Feeds

Carotid Artery Diseases

Carotid artery disease is a group of pathological conditions of the carotid artery. Discover the latest research on carotid artery disease here.

Related Papers

Stroke; a Journal of Cerebral Circulation
P M RothwellEuropean Carotid Surgery Trialist's Collaboration
European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery
A R NaylorP R F Bell
European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery
G D GriffithsD Charlesworth
© 2021 Meta ULC. All rights reserved