The clinician, angiographer and vascular surgeon must be aware of the potential for stroke in patients who are not operated upon because the arteriogram is misread as ICA occlusion when, in actuality, a preocclusive lesion is present. This situation is infrequent but not rare, and it occurred in 1.0 per cent of arteriograms in this series. If a long, tapered proximal ICA 'stump' or the 'slim sign' is seen on arteriogram, especially in patients with recurrent carotid territory symptoms, cervical ICA patency should be assesed by carotid exploration, after which a carotid endarterectomy is performed if patency is demonstrated.
|Original language||English (US)|
|Number of pages||5|
|Journal||Surgery Gynecology and Obstetrics|
|State||Published - Jan 1 1988|
ASJC Scopus subject areas
- Obstetrics and Gynecology