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Vascular and Endovascular Surgery
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External Carotid Endarterectomy for Cerebral and Ocular Ischemia

Laligam N. Sekhar

Department of Neurosurgery, University of Pittsburgh, Pittsburgh, PA 15213

Roberto C. Heros

Department of Neurosurgery, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts 02114

Manuel Dujovny

Department of Neurological Surgery, Henry Ford Hospital, Detroit, Michigan 48202

Sidney K. Wolfson

Department of Neurosurgery, University of Pittsburgh, Pittsburgh, PA 15213

Ricardo Segal

Department of Neurosurgery, University of Pittsburgh, Pittsburgh, PA 15213

We are reporting a series of 8 patients in whom external carotid endarterec tomy was performed for ocular or cerebral ischemia or embolism. High quality cerebral angiography and noninvasive cerebrovascular studies were useful in the evaluation and the follow up of this group. These included 133Xenon cerebral blood flow measurements, ocular pneumoplethysmography, periorbi tal doppler ultrasonography and carotid phonoangiography. The follow up ranged from 3 months to 2 years. The complications included 2 postoperative common carotid artery occlusions, one of which was surgically reopened. There were no strokes or ischemic symptoms in the follow up period. Anatom ical, physiological, pathological and clinical data supporting the value of this operation are reviewed. The indications for external carotid artery endarterec tomy and the operative technique are discussed.

Vascular and Endovascular Surgery, Vol. 16, No. 3, 185-203 (1982)
DOI: 10.1177/153857448201600304
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