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Titolo:
ACUTE OCCLUSION OF THE CAROTID-ARTERY - E MERGENT SURGICAL-TREATMENT
Autore:
STEICHENBERGER R; CHATELARD P; NEDEY C; BERNARD C; SABBEN F; GANICHOT F; GAUSSORGUES P; BARJOUD H; JURUS C; ALFARWATI A;
Indirizzi:
CLIN TONKIN,SERV CHIRURG VASC,26 RUE TONKIN F-69100 VILLEURBANNE FRANCE
Titolo Testata:
Journal des maladies vasculaires
, volume: 21, anno: 1996, supplemento:, A
pagine: 90 - 96
SICI:
0398-0499(1996)21:<90:AOOTC->2.0.ZU;2-N
Fonte:
ISI
Lingua:
FRE
Soggetto:
CLINICAL COURSE; ENDARTERECTOMY; MANAGEMENT;
Keywords:
SPONTANEOUS ACUTE OCCLUSION; ATHEROSCLEROTIC EXTRACRANIAL CAROTID ARTERY; EMERGENCY SURGICAL TREATMENT;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
22
Recensione:
Indirizzi per estratti:
Citazione:
R. Steichenberger et al., "ACUTE OCCLUSION OF THE CAROTID-ARTERY - E MERGENT SURGICAL-TREATMENT", Journal des maladies vasculaires, 21, 1996, pp. 90-96

Abstract

Conservative medical treatment of acute occlusion of the extracranialinternal carotid artery usually gives mediocre results. When a major neurological deficit is involved, mortality can reach 16 to 55 %, morbidity due to definitive deficit 40 to 69 % and cure only 2 to 12 %. Itis thus logical to attempt revascularization as an emergency procedure. In situ intraarterial fibrinolysis is appropriate for acute occlusion in the intracranial territory of the internal carotid involving severe neurological deficits but surgery is more adapted and safer for acute occlusion of the extra-cranial internal carotid. In a personal series of 8 patients, we had 1 death, 1 aggravation, 1 improvement and 5 << cures >>, (62.5 %). Based on data in the literature and our experience, we assessed the advantages of emergency surgery (immediate and definitive re-establishment of the carotid flow and vascularization of the hemisphere before installation of irreversible brain damage) and conditions suggesting chances of success: 1) diagnosis by noninvasive echo-Doppler of the cervical vessels and transcranial Dopler, without preoperative arteriography or CT-scan, 2) operation before 6 hours, 3) quality of the desobstruction, 4) no post-operative anti-coagulant treatment, 5) control of post-operative episodes of hypertension (J Mal Vasc, 1996; 21, Suppl. A : pages 90-96).

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 25/11/20 alle ore 15:56:15