Carotid endarterectomy and completion contact arteriography

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Presentation transcript:

Carotid endarterectomy and completion contact arteriography Joseph Alpert, M.D., Bruce J. Brener, M.D., Victor Parsonnet, M.D., Kenneth Meisner, M.D., Stephen Sadow, M.D., Donald K. Brief, M.D., Robert J. Goldenkranz, M.D. Journal of Vascular Surgery Volume 1, Issue 4, Pages 548-554 (July 1984) DOI: 10.1016/0741-5214(84)90041-7 Copyright © 1984 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 1 Phillips portable dental x-ray unit used in CCA. Journal of Vascular Surgery 1984 1, 548-554DOI: (10.1016/0741-5214(84)90041-7) Copyright © 1984 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 2 Rinn Chairside Darkroom. Journal of Vascular Surgery 1984 1, 548-554DOI: (10.1016/0741-5214(84)90041-7) Copyright © 1984 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 3 Scattered radiation and total integrated dosage from conventional portable Picker and Phillips dental units. Journal of Vascular Surgery 1984 1, 548-554DOI: (10.1016/0741-5214(84)90041-7) Copyright © 1984 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 4 Normal CCA showing a niche in external carotid artery at site of plaque fracture. Journal of Vascular Surgery 1984 1, 548-554DOI: (10.1016/0741-5214(84)90041-7) Copyright © 1984 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 5 CCA with a wavy appearance of endarterectomized vessel wall along a Dacron patch. An intimal flap is present in external carotid artery. Journal of Vascular Surgery 1984 1, 548-554DOI: (10.1016/0741-5214(84)90041-7) Copyright © 1984 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 6 Total occlusion of external carotid artery. Transverse striations in internal carotid artery are remnants of intima and media still attached to vessel wall. Journal of Vascular Surgery 1984 1, 548-554DOI: (10.1016/0741-5214(84)90041-7) Copyright © 1984 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 7 Completion angiogram highlighting an intimal flap and stenosis at blind endarterectomy site in external carotid artery. Journal of Vascular Surgery 1984 1, 548-554DOI: (10.1016/0741-5214(84)90041-7) Copyright © 1984 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 8 CCA after a “piecemeal” and difficult endarterectomy reveals an unsuspected internal carotid stenosis and irregular fracture site in external carotid artery. Journal of Vascular Surgery 1984 1, 548-554DOI: (10.1016/0741-5214(84)90041-7) Copyright © 1984 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 9 CCA after correction of internal carotid stenosis with a Gore-Tex patch graft. Journal of Vascular Surgery 1984 1, 548-554DOI: (10.1016/0741-5214(84)90041-7) Copyright © 1984 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions