Management of penetrating injuries of the internal carotid artery at the base of the skull utilizing extracranial-intracranial bypass

B. L. Gerwertz, D. S. Samson, Q. M. Ditmore, G. E. Bone

Research output: Contribution to journalArticle

38 Citations (Scopus)

Abstract

Penetrating injuries of the internal carotid artery at the base of the skull often require permanent or transient occlusion of the injured vessel during repair. Extracranial-intracranial bypass (EC-IC) was employed in five patients to insure adequate cerebral perfusion during cervical exploration. Preoperative neurologic deficits were noted in three patients; two demonstrated complete reversal following EC-IC. This experience suggests that EC-IC can maintain adequate cerebral perfusion during repair of internal carotid injuries and allow selective revascularization of patients with neurologic deficit and carotid occlusion.

Original languageEnglish (US)
Pages (from-to)365-369
Number of pages5
JournalJournal of Trauma
Volume20
Issue number5
StatePublished - 1980

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Skull Base
Internal Carotid Artery
Neurologic Manifestations
Wounds and Injuries
Perfusion

ASJC Scopus subject areas

  • Surgery

Cite this

Management of penetrating injuries of the internal carotid artery at the base of the skull utilizing extracranial-intracranial bypass. / Gerwertz, B. L.; Samson, D. S.; Ditmore, Q. M.; Bone, G. E.

In: Journal of Trauma, Vol. 20, No. 5, 1980, p. 365-369.

Research output: Contribution to journalArticle

Gerwertz, B. L. ; Samson, D. S. ; Ditmore, Q. M. ; Bone, G. E. / Management of penetrating injuries of the internal carotid artery at the base of the skull utilizing extracranial-intracranial bypass. In: Journal of Trauma. 1980 ; Vol. 20, No. 5. pp. 365-369.
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