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Abstract

It is surprising that the available literature rarely refers to the optimal timing of the operation. Gratzl (1975) is absolutely against surgery for traumatic vascular occlusions within the first hours after the trauma. This view is shared by Chater (1976), who had a postoperative fatality after surgery in the acute phase. Figures 98–103 show the angiogram of a patient after an extra-intracranial anastomosis operation for a left-sided carotid occlusion. Shortly after the operation the right carotid artery occluded. Twenty-four hours later, an extra-intracranial bypass was performed on the recent right carotid occlusion. This patient died of a massive cerebral edema 5 days after the second operation. Only one case has been described in the relevant literature (Yaşargil 1970, case 2) in which extra-intracranial anastomosis was performed 3 days after aneurysm surgery and completed stroke after operation. This patient made a very rapid postoperative recovery.

Keywords

Carotid Artery Transient Ischemic Attack Aneurysm Surgery Acute Trauma Carotid Occlusion 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Copyright information

© Springer-Verlag Wien 1979

Authors and Affiliations

  • Gerhard Kletter
    • 1
  1. 1.Department of NeurosurgeryUniversity of Vienna Medical SchoolViennaAustria

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