Surgical Treatment of Chronic Internal Carotid Artery Occlusion By Saline Endarterectomy

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Abstract
Results obtained from operations upon complete occlusion of the internal carotid artery have been distinctly less favorable than those with incomplete occlusions. Surgical exploration of chronic occlusions of the internal carotid artery is worthwhile when symptoms of cerebrovascular insufficiency are present. To be successful, this endarterectomy must be directed at removing the intracranial portion of the thrombus. If proper precautions are taken, there is little risk to the patient if circulation cannot be restored. When reconstruction is successful, marked improvement in cerebral blood flow can be expected.