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Title: Complete occlusion of extracranial internal carotid artery: clinical features, pathophysiology, diagnosis and management.
Authors: Thanvi, B
Robinson, T
First Published: Feb-2007
Citation: POSTGRAD MED J, 2007, 83 (976), pp. 95-99
Abstract: A complete occlusion of the internal carotid artery (ICA) is an important cause of cerebrovascular disease. A never-symptomatic ICA occlusion has a relatively benign course, whereas symptomatic occlusion increases future risk of strokes. Ultrasonography, magnetic resonance imaging and contrast angiography are useful diagnostic tests, and functional imaging of the brain (eg, with positron emission tomography) helps to understand haemodynamic factors involved in the pathophysiology of brain ischaemia. Recently, there has been a resurgence of interest in the role of extracranial-intracranial bypass surgery for the treatment of completely occluded ICA. With advances in the measurement of cerebral haemodynamics, it may be possible to identify high-risk patients who could benefit from the bypass surgery.
DOI Link: 10.1136/pgmj.2006.048041
eISSN: 1469-0756
Type: Journal Article
Appears in Collections:Published Articles, Dept. of Cardiovascular Sciences

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