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

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38 Scopus citations

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
Publication statusPublished - 1980

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ASJC Scopus subject areas

  • Surgery

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