Antonio V. Sterpetti, M. D. , Richard D. Schultz, M. D. , F. A. C. S

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Presentation transcript:

External carotid endarterectomy: Indications, technique, and late results Antonio V. Sterpetti, M.D., Richard D. Schultz, M.D., F.A.C.S., Richard J. Feldhaus, M.D., F.A.C.S. Journal of Vascular Surgery Volume 7, Issue 1, Pages 31-39 (January 1988) DOI: 10.1016/0741-5214(88)90376-X Copyright © 1988 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 1 Angiographic findings before 25 operations. CCA = common carotid artery; ICA = internal carotid artery; ECA = external carotid artery. Journal of Vascular Surgery 1988 7, 31-39DOI: (10.1016/0741-5214(88)90376-X) Copyright © 1988 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 2 Type I EC endarterectomy; after endarterectomy the stump of the ICA was not obliterated. Arteriotomy was closed with (four patients) or without (12 patients) vein patch grafting. Journal of Vascular Surgery 1988 7, 31-39DOI: (10.1016/0741-5214(88)90376-X) Copyright © 1988 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 3 Type II EC endarterectomy; after removal of the plaque, the internal carotid orifice was obliterated with interrupted sutures. (Modified with permission from O'Mara CS. In: Bergan JJ, Yao JST, eds. Cerebrovascular insufficiency. New York: Grune & Stratton, Inc., 1980:251-73.) Journal of Vascular Surgery 1988 7, 31-39DOI: (10.1016/0741-5214(88)90376-X) Copyright © 1988 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 4 Type III EC endarterectomy; after removal of the plaque, a segment of endarterectomized internal carotid occlusion was used for patch angioplasty. (Modified with permission from O'Mara CS. In: Bergan JJ, Yao JST, eds. Cerebrovascular insufficiency. New York: Grune & Stratton, Inc., 1980:251-73.) Journal of Vascular Surgery 1988 7, 31-39DOI: (10.1016/0741-5214(88)90376-X) Copyright © 1988 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 5 Operative findings in 22 operated sides (20 patients). Generally, the atherosclerotic plaque was mainly localized in the inner wall of the ECA (see text). Journal of Vascular Surgery 1988 7, 31-39DOI: (10.1016/0741-5214(88)90376-X) Copyright © 1988 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 6 Preoperative and postoperative ophthalmic artery-brachial artery pressure index (OBPI) was determined in eight patients. There was a significant increase after external carotid endarterectomy (p < 0.01). Journal of Vascular Surgery 1988 7, 31-39DOI: (10.1016/0741-5214(88)90376-X) Copyright © 1988 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 7 A and B. Periorbital collateral branches (arrow) in patient with ICA occlusion. Journal of Vascular Surgery 1988 7, 31-39DOI: (10.1016/0741-5214(88)90376-X) Copyright © 1988 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions