Safety of carotid ligation and its role in the management of intracranial aneurysms.

Publisher Website
Google Scholar
Abstract
By using measurements of cerebral blood flow and internal carotid artery pressure it is possible to select patients in whom carotid ligation can be performed with a very low risk of postoperative cerebral ischemia. Patients (100) were studied comparing this method with clinical predictions of the type used in aneurysm surgery based on age of the patient, arterial hypertension, time from latest subarachnoid hemorrhage, and neurological status on a modified Botterell scale. These clinical factors were of little value in predicting which patients would and would not develop cerebral ischemia after carotid occlusion.