Hertzer N R
Surg Gynecol Obstet. 1981 Aug;153(2):186-90.
External carotid endarterectomy may be useful in the management of selected patients who have internal carotid occlusion, persistent neurologic symptoms and additional atheromatous ulceration or stenosis within the carotid bifurcation. The procedure should be associated with a low risk for intraoperative stroke and a reasonable likelihood for symptomatic improvement. If symptoms are not completely corrected by external carotid endarterectomy, superficial temporal artery-to-middle cerebral artery bypass may be performed with greater confidence in a successful hemodynamic result.
对于患有颈内动脉闭塞、持续性神经症状且在颈动脉分叉处存在额外动脉粥样硬化溃疡或狭窄的特定患者，颈外动脉内膜切除术可能有助于治疗。该手术应具有较低的术中中风风险以及症状改善的合理可能性。如果颈外动脉内膜切除术未能完全纠正症状，颞浅动脉至大脑中动脉搭桥术可能会在成功实现血流动力学结果方面更有信心地进行。
