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Carotid endarterectomy and completion contact arteriography

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Presentation on theme: "Carotid endarterectomy and completion contact arteriography"— Presentation transcript:

1 Carotid endarterectomy and completion contact arteriography
Joseph Alpert, M.D., Bruce J. Brener, M.D., Victor Parsonnet, M.D., Kenneth Meisner, M.D., Stephen Sadow, M.D., Donald K. Brief, M.D., Robert J. Goldenkranz, M.D.  Journal of Vascular Surgery  Volume 1, Issue 4, Pages (July 1984) DOI: / (84) Copyright © 1984 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

2 Fig. 1 Phillips portable dental x-ray unit used in CCA.
Journal of Vascular Surgery 1984 1, DOI: ( / (84) ) Copyright © 1984 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

3 Fig. 2 Rinn Chairside Darkroom.
Journal of Vascular Surgery 1984 1, DOI: ( / (84) ) Copyright © 1984 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

4 Fig. 3 Scattered radiation and total integrated dosage from conventional portable Picker and Phillips dental units. Journal of Vascular Surgery 1984 1, DOI: ( / (84) ) Copyright © 1984 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

5 Fig. 4 Normal CCA showing a niche in external carotid artery at site of plaque fracture. Journal of Vascular Surgery 1984 1, DOI: ( / (84) ) Copyright © 1984 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

6 Fig. 5 CCA with a wavy appearance of endarterectomized vessel wall along a Dacron patch. An intimal flap is present in external carotid artery. Journal of Vascular Surgery 1984 1, DOI: ( / (84) ) Copyright © 1984 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

7 Fig. 6 Total occlusion of external carotid artery. Transverse striations in internal carotid artery are remnants of intima and media still attached to vessel wall. Journal of Vascular Surgery 1984 1, DOI: ( / (84) ) Copyright © 1984 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

8 Fig. 7 Completion angiogram highlighting an intimal flap and stenosis at blind endarterectomy site in external carotid artery. Journal of Vascular Surgery 1984 1, DOI: ( / (84) ) Copyright © 1984 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

9 Fig. 8 CCA after a “piecemeal” and difficult endarterectomy reveals an unsuspected internal carotid stenosis and irregular fracture site in external carotid artery. Journal of Vascular Surgery 1984 1, DOI: ( / (84) ) Copyright © 1984 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

10 Fig. 9 CCA after correction of internal carotid stenosis with a Gore-Tex patch graft. Journal of Vascular Surgery 1984 1, DOI: ( / (84) ) Copyright © 1984 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions


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