[Skip to Content]
[Skip to Content Landing]
January 1962

Cerebral IschemiaSurgical Procedure in Cases Due to Tortuosity and Buckling of the Cervical Vessels

Author Affiliations

Fellow in Vascular Surgery (Dr. Davalos).; From the Joseph B. Whitehead Department of Surgery, Emory University School of Medicine.

Arch Surg. 1962;84(1):85-94. doi:10.1001/archsurg.1962.01300190089012

During the past decade it has been demonstrated that the primary arterial occlusion in many patients with cerebral vascular insufficiency was localized to the cervical portion of the cerebral vessels. Improvements in techniques of vascular surgery have made it possible in many to restore the circulation to relatively normal limits. The most common cause of occlusion is arteriosclerosis. More frequent than previously suspected is partial or complete occlusion due to tortuosity and buckling of the vessels.

Riser et al. in 1951 reported a case of carotid artery insufficiency due to coiling of the artery in the neck.6 Symptoms were relieved by straightening of the segment and attachment of the artery to the underside of the sternomastoid muscle. Gass in 1958 reported 7 cases and correction of 1 unsuccessfully by resection and an end-to-end anastomosis.3 Smathers and Smathers resected a severely coiled carotid artery and performed an end-to-end anastomosis

First Page Preview View Large
First page PDF preview
First page PDF preview