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(Circulation. 1966;33:I-173.)
© 1966 American Heart Association, Inc.

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Operative Treatment of Multiple Sites of Extracranial Cervical Artery Occlusion

CREIGHTON A. HARDIN M.D.¹

¹ From the Department of Surgery, University of Kansas Medical Center, Kansas City, Kansas.

Arterial reconstruction was done in 130 patients with multiple sites of extracranial cerebral artery occlusion. Operative mortality was 2.3%; total mortality of the operative series was 3.8%. Presenting ocular signs and symptoms, other than diplopia and blurred vision, were essentially unchanged. Paralytic symptoms reverted in 80% of patients. Speech disturbances were relieved in 78% of patients. Attitude, gait, and ataxia returned to normal in 88% of patients. Nystagmus was improved in 76% of patients. Arterial reconstruction of blood flow of multiple sites of cerebral vascular insufficiency carries an acceptable operative mortality and results in a satisfactory reversal of preoperative neurological signs and symptoms.