SURGICAL TREATMENT OF LESIONS PRODUCING ARTERIAL INSUFFICIENCY OF THE INTERNAL CAROTID, COMMON CAROTID, VERTEBRAL, INNOMINATE AND SUBCLAVIAN ARTERIES
Authors: M E DE BAKEY, E S CRAWFORD, W S FIELDS
Journal: Annals of Internal Medicine (1959)

Article1 September 1959SURGICAL TREATMENT OF LESIONS PRODUCING ARTERIAL INSUFFICIENCY OF THE INTERNAL CAROTID, COMMON CAROTID, VERTEBRAL, INNOMINATE AND SUBCLAVIAN ARTERIESMICHAEL E. DE BAKEY, M.D., E. STANLEY CRAWFORD, M.D., WILLIAM S. FIELDS, M.D.MICHAEL E. DE BAKEY, M.D., E. STANLEY CRAWFORD, M.D., WILLIAM S. FIELDS, M.D.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-51-3-436 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptIt is now well established that cerebral arterial insufficiency may often be caused by occlusive lesions located in the extracranial segments of the arteries supplying the brain.1-3, 9-12, 14Although its incidence has not been accurately established, more extensive application of arteriographic technics in the study of these patients indicates that such lesions may be present extracranially in the neck or chest in over one third of the cases. The occlusion in these patients occurs in certain characteristic locations, namely, the internal carotid artery near its origin from the common carotid artery, the innominate, left common carotid, and left subclavian...Bibliography1. Broadbent WH: Absence of pulsation in both radial arteries, vessels being full of blood, Tr. Clin. Soc. London 8: 165, 1875. Google Scholar2. Chiari : Ueber das Verhalten des Teilungswinkels der Carotis communis bei der Endarteritis chronica deformans, Verhandl. d. deutsch. path. Gesellsch. 9: 326, 1906. Google Scholar3. CrawfordDe BakeyFields ESMEWS: Roentgenographic diagnosis and surgical treatment of basilar artery insufficiency, J. A. M. A. 168: 509, 1958. CrossrefMedlineGoogle Scholar4. CrawfordDe Bakey ESME: Arteriography in diagnosis and treatment of atherosclerotic occlusive vascular lesions, Heart Bull. 8: 8, 1959. MedlineGoogle Scholar5. De BakeyMorrisJordanCooley MEGCGLDA: Segmental thrombo-obliterative disease of branches of aortic arch, J. A. M. A. 166: 988, 1958. Google Scholar6. De BakeyCrawfordCooleyMorris MEESDAGC: Surgical considerations of occlusive disease of the abdominal aorta and iliac and femoral arteries: analysis of 803 cases, Ann. Surg. 148: 306, 1958. CrossrefMedlineGoogle Scholar7. EastcottPickeringRob HHGWCG: Reconstruction of internal carotid artery in patient with intermittent attacks of hemiplegia, Lancet 2: 994, 1954. CrossrefGoogle Scholar8. Moniz E: L'encephalographie arterielle, son importance dans la localisation des tumeurs cerebrales, Rev. neurol. 2: 72, 1927. Google Scholar9. FieldsCrawfordDe Bakey WSESME: Surgical considerations in cerebral arterial insufficiency, Neurology 8: 801, 1958. CrossrefMedlineGoogle Scholar10. Fisher M: Occlusion of the internal carotid artery, Arch. Neurol. and Psychiat. 65: 346, 1951. CrossrefGoogle Scholar11. Hunt JR: The role of the carotid arteries in the causation of vascular lesions of the brain, with remarks on certain special features of the symptomatology, Am. J. M. Sc. 147: 704, 1914. CrossrefGoogle Scholar12. HutchinsonYates ECPO: Cervical portion of vertebral artery: clinicopathological study, Brain 79: 319, 1956. CrossrefMedlineGoogle Scholar13. LyonsGalbraith CG: Surgical treatment of atherosclerotic occlusion of internal carotid artery, Ann. Surg. 146: 487, 1957. CrossrefMedlineGoogle Scholar14. Penzoldt F: Uber Thrombose (autochthone oder embolische) der Carotis, Deutsches Arch. f. klin. Med. 28: 80, 1881. Google Scholar15. RobbSteinberg CPI: Visualization of chambers of heart, pulmonary circulation, and great vessels in man: practical method, Am. J. Roentgenol. 41: 1 (Jan.) 1939. Google Scholar16. WarrenFriedman RLJ: Pulseless disease and carotid artery thrombosis: surgical considerations, New England J. Med. 257: 685, 1957. CrossrefMedlineGoogle Scholar17. Wickbom I: Thoracic aortography after direct puncture of the aorta from the jugulum, Acta radiol. 38: 343, 1952. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Houston, Texas*Received for publication May 16, 1959.Presented at the Fortieth Annual Session of The American College of Physicians, Chicago, Illinois, April 24, 1959.From the Cora and Webb Mading Department of Surgery and the Department of Neurology, Baylor University College of Medicine, and the surgical services of the Jefferson Davis, Methodist and Veterans Administration Hospitals, Houston, Texas.†Supported in part by U. S. Public Health Service Grant No. H-3137 and the Houston Heart Association.Requests for reprints should be addressed to Michael E. De Bakey, M.D., Department of Surgery, Baylor University College of Medicine, Houston 25, Texas. 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