The importance of arteriographic interpretation in occlusion or pseudo-occlusion of the carotid artery

A. D. Ammar, M. W. Turrentine, S. J. Farha

Research output: Contribution to journalArticlepeer-review

15 Scopus citations

Abstract

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 languageEnglish (US)
Pages (from-to)119-123
Number of pages5
JournalSurgery Gynecology and Obstetrics
Volume167
Issue number2
StatePublished - Jan 1 1988
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • Obstetrics and Gynecology

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