The finding of thrombus at carotid endarterectomy and its relationship to the timing of surgery

Author:

Harrison M J G1,Marshall John2

Affiliation:

1. The Middlesex Hospital, London, W1

2. Institute of Neurology, National Hospital, Queen's Square, London, WC1

Abstract

Abstract The clinical, angiographical, operative and histological records of 52 patients undergoing carotid endarterectomy for transient cerebral ischaemic attacks were reviewed. Thrombus or other friable material was present in 66 per cent of the 24 patients operated upon within 4 weeks of a clinical attack, but in only 21 per cent of the 28 patients in whom the time interval was longer. The data favour an embolic explanation for the clinical episodes and further suggest that thrombus formation on atheromatous stenosis and ulceration is intermittent.

Publisher

Oxford University Press (OUP)

Subject

Surgery

Reference9 articles.

1. Observations on the natural history of transient cerebral ischaemia;Acheson;Lancet,1964

2. Occlusion of the internal carotid artery;Fisher;A M A Arch. Neurol. Psychiatr.,1951

3. Concerning recurrent transient cerebral ischaemic attacks;Fisher;Can. Med. Assoc. J.,1962

4. Mural thrombosis of the internal carotid artery and subsequent embolism;Gunning;Q. J. Med.,1964

5. Angiographic. appearance of carotid bifurcation in patients with completed stroke, transient ischaemic attacks and cerebral tumour;Harrison;Br. Med. J.,1976

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