Carotid and vertebral artery disease

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Abstract
The carotid and vertebral arteries and intracranial vessels were studied in 70 autopsied cases. A method has been described by which occlusive carotid-vertebral disease can be assessed pathologically. Results indicate that: Occlusive disease in vertebral arteries is almost as common as in carotid arteries. Where there is multiple artery disease, both carotid and vertebral systems are usually involved. It is important to visualize the vertebral arteries in assessing a patient with carotid disease. There was a suggestion of correlation between occlusive carotid-vertebral disease and basal cerebral disease. Hypertension correlates with carotid-vertebral disease and even more strongly with vertebral disease alone. The relative incidence of carotid-vertebral disease in males and females was the same in this series. Although carotid-vertebral disease played a prominent role in the etiology of almost half the cerebral infarctions in this series, usually other factors were also involved.

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