Kusunoki T, Rowed D W, Tator C H, Lougheed W M
Stroke. 1978 Jan-Feb;9(1):34-8. doi: 10.1161/01.str.9.1.34.
Forty consecutive patients undergoing thromboendarterectomy for total internal carotid artery occlusion were studied in an attempt to determine a) whether careful case selection could be expected to reduce future postoperative mortality and morbidity, b) whether the achieved patency rate justified early operation and c) whether patients in whom patency was restored and maintained had a better long-term prognosis. The results show that a group of patients can be selected that will have low postoperative mortality and morbidity. The success rate for restoration of blood flow is high, particularly if the operation is performed soon after occlusion. The long-term prognosis in patients in whom patency of the internal carotid artery is restored and maintained appears to be better than in those with persistent occlusion of the carotid artery.
对40例因颈内动脉完全闭塞而接受血栓内膜切除术的连续患者进行了研究，以确定：a）精心选择病例是否有望降低未来术后死亡率和发病率；b）所达到的通畅率是否证明早期手术合理；c）血流恢复并维持通畅的患者是否有更好的长期预后。结果表明，可以选择一组术后死亡率和发病率较低的患者。血流恢复成功率很高，尤其是在闭塞后不久进行手术时。颈内动脉通畅并维持通畅的患者的长期预后似乎优于颈动脉持续闭塞的患者。
