Importance of cerebral collateral pathways during carotid endarterectomy.

  title={Importance of cerebral collateral pathways during carotid endarterectomy.},
  author={Peter A. Schneider and E. Bernd Ringelstein and Marjorie Rossman and Ralph B Dilley and David F Sobel and Shirley M. Otis and Eugene F. Bernstein},
  volume={19 11},
Before surgery, we evaluated major intracranial collateral pathways using transcranial Doppler ultrasonography (TCD) in 50 patients who then underwent carotid endarterectomy with concurrent multimodality cerebral monitoring. Patients were grouped with respect to collateral pathways demonstrated preoperatively by TCD: Group 1, good collateralization with an anterior and/or posterior communicating artery ipsilateral to the operative carotid lesion (29 patients, 58%); Group 2, collateral pathways… CONTINUE READING


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