Extracranial angiopathology, within the scope of justified surgical aggression and particular emphasis upon "impending stroke". Surgical considerations with 1-10 years follow-up report of 300 operated cases

Poulias, G.E.; Polemis, L.; Skoutas, B.; Doundoulakis, N.; Prombonas, E.; Yatzidis, A.; Sendekeya, C.

Journal of Cardiovascular Surgery 21(4): 431-438

1980


ISSN/ISBN: 0021-9509
PMID: 7419559
Document Number: 159469
Surgical experience in dealing with extracranial angiopathology on the basis of 300 cases submitted to surgical reconstitution is presented with long term observations covering 1-10 yr. Particular emphasis is given to the concept of prophylaxis which must be considered as the major goal of contemporary operative approach, by means of preventing ischemic episode rather than reducing an already established infarct. Spectrum of surgical indications covers mainly transient attacks of brain ischemia with attention focused upon the selective group of patients with impending stroke semiology, who although considered asymptomatic, are not carefully investigated. Avant garde philosophy of operative approach as instituted is fully outlined with all merits of a fully justified surgical aggression discussed.

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