Posterior communicating artery visualization in predicting results of carotid endarterectomy for vertebrobasilar insufficiency.

Abstract

Retrospectively, 51 patients who related two or more signs or symptoms of vertebrobasilar insufficiency and possessed concomitant carotid arterial disease were identified. The patient population was separated into two groups based on the presence or absence of an angiographically visualized posterior communicating artery during selective carotid artery injection. All patients had undergone unilateral or staged bilateral carotid endarterectomy. Comparison of postoperative clinical outcome with intracerebral angiographic findings exhibited statistically significant improvement in favor of those patients with at least one visualized posterior communicating artery. There was a greater likelihood of severe vertebral artery stenosis in those patients whose symptoms were not relieved by carotid endarterectomy.

• Authors: T R Harward, I G Wickbom, S M Otis, E F Bernstein, R B Dilley
• Journal: American journal of surgery (Am J Surg) Vol. 148 Issue 1 Pg. 43-50 (Jul 1984) ISSN: 0002-9610 [Print] United States
• PMID: 6742329 (Publication Type: Journal Article)

Topics

• Aged
• Carotid Arteries (diagnostic imaging, surgery)
• Cerebral Angiography
• Circle of Willis (diagnostic imaging)
• Endarterectomy
• Female
• Humans
• Male
• Retrospective Studies
• Vertebrobasilar Insufficiency (diagnosis, diagnostic imaging, surgery)