Egan T M, Walker P M
Division of Vascular Surgery, Toronto General Hospital, University of Toronto, Ont.
Can J Surg. 1988 Sep;31(5):368-71.
Complete occlusion of an endarterectomized internal carotid artery in the early postoperative period is uncommon. In a series of 325 consecutive carotid endarterectomies, the authors recognized this complication on five occasions. In each instance, early reoperation resulted in neurologic improvement of the patient. Awareness of the condition is important in making the diagnosis; in two patients the deficit was mild, despite complete occlusion of the endarterectomized artery. Therefore, the authors believe that any neurologic deficit early after endarterectomy of an internal carotid artery should be aggressively investigated and patency of the affected segment re-established.
在术后早期，内膜切除术后的颈内动脉完全闭塞并不常见。在连续325例颈动脉内膜切除术病例中，作者仅5次发现了这种并发症。在每一例中，早期再次手术均使患者的神经功能得到改善。认识到这种情况对于做出诊断很重要；在2例患者中，尽管内膜切除的动脉完全闭塞，但神经功能缺损很轻微。因此，作者认为，对任何颈动脉内膜切除术后早期出现的神经功能缺损都应积极进行检查，并重新恢复受累节段的通畅。
