The elongation of the internal carotid artery: early and long-term results of patients having surgery compared with unoperated controls

Annals of Vascular Surgery
Enzo BallottaM Saladini

Abstract

The purposes of this study are to (1) demonstrate the association of elongations of the internal carotid artery (ICA), that is, kinking, coiling, tortuousity, and angulation, and the neurologic symptoms with high stroke risk; (2) compare the results of the surgical treatment versus the medical treatment alone; (3) contribute to the knowledge of the natural history of these anatomical particularities. From January 1992 to December 1994, 113 patients with ICA kinking, coiling, tortuousity, and angulation were randomized either to surgery (group I, n = 55) or not (group II, n = 58). Patients, who presented a carotid hemodynamically significant lesion (>60%) at the origin and associated distal elongation were excluded. The groups were comparable with regard to sex, age, risk factors for atherosclerosis, associated diseases, symptoms and anatomic feature of the contralateral ICA. Follow-up was obtained in all patients: it consisted of clinical evaluation and Duplex scan control at 3-month intervals during the follow-up period (6-36 months; average, 23). Histologic specimens were obtained in all surgically treated arteries. Early results were excellent: in group I, no patient died, no patient presented major or minor stroke. Only one...Continue Reading

Citations

Jun 14, 2013·Case Reports in Vascular Medicine·Gary G TseBeau K Nakamoto
May 24, 2006·Cardiovascular and Interventional Radiology·A Y ZaytsevV A Kikevitch
Nov 23, 2006·Surgical and Radiologic Anatomy : SRA·G La BarberaB Valentino
Jul 12, 2017·The Journal of Craniofacial Surgery·Rajani Singh, Richard Shane Tubbs
Nov 27, 2019·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·John C BensonDavid F Kallmes
Jun 17, 2021·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·Kristine DilbaDaniel Bos

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