Selective external endarterectomy in patients with ipsilateral symptomatic internal carotid artery occlusion

Journal of Vascular Surgery
Margriet FokkemaGert Jan de Borst


Selective endarterectomy of external carotid artery (ECA) stenosis has been considered a therapeutic option for patients presenting with symptomatic ipsilateral internal carotid artery (ICA) occlusion to correct cerebral hypoperfusion or eliminate a source of emboli. However, data are scarce, and the long-term benefit of ECA revascularization remains unclear. Our objective was to study the operative results and durability of selective ECA endarterectomy in patients presenting with cerebrovascular symptoms in association with nonacute ipsilateral ICA occlusion. This was a retrospective analysis of 27 consecutive patients who underwent selective ECA endarterectomy in a single center between 2000 and 2010. All patients presented with neurologic symptoms (<6 months of surgery, 78% repeat events) referable to an ipsilateral occlusion of the ICA and concomitant stenosis of the ECA. We assessed the perioperative clinical outcome <30 days and at midterm follow-up (mean, 31.6 months). Patency was defined as freedom of duplex ultrasound detected ≥ 50% restenosis. Endarterectomy of the ECA was successful in 26 patients (96.3%) with one ECA found occluded at surgery. No perioperative deaths occurred. In the 30 days after surgery, one patie...Continue Reading


Sep 1, 1978·Stroke; a Journal of Cerebral Circulation·H J BarnettJ C Kaufmann
Nov 1, 1989·Journal of Vascular Surgery·S C NichollsD E Strandness
Jan 1, 1988·Journal of Vascular Surgery·A V SterpettiR J Feldhaus
Apr 1, 1988·Archives of Surgery·S G FriedmanA M Imparato
Sep 1, 1987·Journal of Vascular Surgery·D L StreetJ A DeWeese
Dec 1, 1986·American Journal of Surgery·D F FisherW J Fry
Sep 1, 1985·Journal of Vascular Surgery·P J O'HaraE G Beven
Dec 1, 1995·Cardiovascular Surgery : Official Journal of the International Society for Cardiovascular Surgery·L M HarrisJ J Ricotta
Oct 28, 1997·Stroke; a Journal of Cerebral Circulation·Catharina J M KlijnJan van Gijn
Jul 8, 1999·Cardiovascular Surgery : Official Journal of the International Society for Cardiovascular Surgery·A F AbuRahma, S E Copeland
Mar 2, 2002·Stroke; a Journal of Cerebral Circulation·Catharina J M KlijnJan van Gijn
Mar 29, 2003·Journal of Vascular Surgery·Philip S K PatyDhiraj M Shah
Jan 20, 2004·Ultrasound Quarterly·Edward G GrantSociety of Radiologists in Ultrasound
Feb 28, 2004·Stroke; a Journal of Cerebral Circulation·Jeroen HendrikseXavier Golay
Jul 3, 2004·Stroke; a Journal of Cerebral Circulation·Matthew L FlahertyRobert D Brown
Aug 9, 2008·Stroke; a Journal of Cerebral Circulation·Peter Jan van LaarJeroen Hendrikse
Sep 25, 2010·Lancet Neurology·Catharina J M Klijn, L Jaap Kappelle
Nov 10, 2011·JAMA : the Journal of the American Medical Association·William J PowersCOSS Investigators
Sep 7, 2012·Annals of Vascular Surgery·Darren S BryanChristopher L Skelly


Aug 8, 2014·Journal of Neurointerventional Surgery·Eric SchmidtJustin F Fraser
Dec 3, 2014·Annals of Vascular Surgery·Jeffrey J SiracuseNicholas J Morrissey

Related Concepts

Internal Carotid Artery Structure
Cerebrovascular Occlusion
Myocardial Infarction
Retrospective Studies
Vascular Patency
Survival Analysis
Internal Carotid Artery Stenosis
Carotid Endarterectomy
Ultrasonography, Doppler, Duplex

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.

Acute Stroke

A stroke occurs when blood supply to the brain is interrupted depriving the brain of oxygen and nutrients. This feed focuses cerebrovascular accidents including ischemic and paralytic stroke.

Brain Ischemia

Brain ischemia is a condition in which there is insufficient blood flow to the brain to meet metabolic demand. Discover the latest research on brain ischemia here.