Nordhus O, Ekeström S, Liljeqvist L
Acta Chir Scand. 1980;146(1):5-8.
Nineteen patients with transient ischaemic attacks (TIA), selected from a series of 420 patients who underwent carotid endarterectomy during the last 10 years were studied. All had one occluded and one stenosed internal carotid artery with neurological symptoms from the contralateral brain hemisphere in relation to the stenosis. Carotid endarterectomy was performed on the stenosed side utilizing temporary bypass with continuous bypass blood flow measurements. The mortality was 5%. In 14 of 16 patients the symptoms disappeared postoperatively. The cause of the patients symptoms was probable embolization from the stenosed carotid artery to the contralateral hemisphere or episodes of ischaemia due to haemodynamic importance of the stenosis.
从过去10年接受颈动脉内膜切除术的420例患者中选取了19例短暂性脑缺血发作（TIA）患者进行研究。所有患者均有一侧颈内动脉闭塞、另一侧颈内动脉狭窄，并伴有与狭窄相关的对侧脑半球神经症状。在狭窄侧进行颈动脉内膜切除术，采用临时旁路并持续测量旁路血流。死亡率为5%。16例患者中有14例术后症状消失。患者症状的原因可能是狭窄的颈动脉向对侧半球栓塞，或因狭窄的血流动力学意义导致的缺血发作。
