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Related Experiment Videos

Presidential address: stroke--a perspective

J J Cranley

    Surgery
    |May 1, 1982
    PubMed
    Summary
    This summary is machine-generated.

    Strokes can result from carotid artery issues. Carotid endarterectomy is a safe and effective surgical treatment for cerebrovascular disease, with low complication rates.

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    Does the asymptomatic limb harbor deep venous thrombosis?

    American journal of surgery·1994

    Area of Science:

    • Vascular Surgery
    • Neurology
    • Diagnostic Imaging

    Background:

    • Cerebrovascular disease, including carotid artery obstruction and embolism, is a significant cause of stroke.
    • Recognizing the dual potential for embolic disease and hypoperfusion syndrome in the same patient is crucial for vascular surgeons.

    Observation:

    • Transient ischemic attack (TIA) indicates localized cerebral ischemia.
    • Bruits are indicators for further cerebrovascular disease investigation.
    • Oculopneumoplethysmography and B-mode scanning are practical noninvasive methods for evaluating cerebrovascular disease.

    Findings:

    • Arteriography interpretation variability makes stenosis percentage an unreliable metric for diagnostic accuracy.
    • Carotid endarterectomy, with or without shunts/EEG monitoring, is a satisfactory surgical intervention.

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  • Key surgical elements include wide exposure, minimal carotid artery handling, meticulous technique, and postoperative blood pressure control.

    • Implications:

    • The study reports low operative mortality (1%) and neurologic deficit rates (0.96% permanent, 2.1% transient) in 882 carotid endarterectomies performed since 1970.
    • Effective surgical management of carotid artery disease can significantly reduce stroke risk.
    • Optimized surgical techniques and patient management are vital for successful carotid endarterectomy outcomes.