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Elective resection of the internal carotid artery without reconstruction
Author(s) -
De Vries Egbert J.,
Sekhar Laligam N.,
Schramm Victor L.,
Janecka Ivo P.,
Horton Joseph A.,
Eibling David E.
Publication year - 1988
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1288/00005537-198809000-00010
Subject(s) - medicine , internal carotid artery , surgery , occlusion , radiology , resection , skull , cerebral blood flow , carotid arteries , vein , cerebral angiography , angiography , cardiology
Curability of skull base tumors is related to the ability to achieve a complete resection. Resection of the internal carotid artery with the tumor puts the patient at risk for catastrophic cerebral injury. Autogenous vein grafting is not always technically or physiologically possible. We present eight patients with tumors eroding the cranial base who underwent safe resection or occlusion of the internal carotid artery as predicted by three tests: 1. carotid arteriography, 2. temporary balloon occlusion of the internal carotid artery, and 3. xenon computerized tomography cerebral blood flow mapping. No patient suffered permanent central nervous system injury.