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Published bySylvain Barrette Modified over 5 years ago
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Initial clinical evaluation of carotid artery laser endarterectomy
John Eugene, MD, Richard A. Ott, MD, Kenneth L. Nudelman, MD, Stephen J. McColgan, MD, Yvon Baribeau, MD, Michael W. Berns, PhD, G.Robert Mason, MD, PhD Journal of Vascular Surgery Volume 12, Issue 4, Pages (October 1990) DOI: / (90)90053-D Copyright © 1990 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions
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Fig. 1 Left carotid artery laser endarterectomy in a 71-year-old woman with transient ischemic attacks and contralateral internal carotid artery occlusion. A, The atheroma is gently retracted, and laser radiation is directed at the cleavage plane to cut the plaque from the media. B, The completed endarterectomy has a smooth luminal surface with a welded distal end point. Journal of Vascular Surgery , DOI: ( / (90)90053-D) Copyright © 1990 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions
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Fig. 2 Left carotid angiogram before carotid artery laser endarterectomy in a 71-year-old man with transient ischemic attacks; lateral view demonstrates 50% to 60% stenosis. Journal of Vascular Surgery , DOI: ( / (90)90053-D) Copyright © 1990 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions
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Fig. 3 Left carotid artery duplex scan 13 months after laser endarterectomy in the same patient identified in Fig. 2. A, No residual plaque is seen in the common carotid artery (CCA) or internal carotid artery (ICA) in longitudinal view. B, No residual plaque is seen in the carotid bulb in cross-sectional view. C, Normal Doppler signal is seen at the carotid bulb. Journal of Vascular Surgery , DOI: ( / (90)90053-D) Copyright © 1990 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions
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