Ulcerated Atheroma of the Carotid Artery

F. William Blaisdell, Morton Glickman, Donald Trunkey

Research output: Contribution to journalArticle

31 Citations (Scopus)

Abstract

Embolism from atherosclerotic plaques of the carotid bifurcation is being recognized as a frequent cause of occlusion of intracranial arteries producing transient ischemic attacks or strokes. Fifty carotid bifurcation lesions were performed in an attempt to establish roentgenographic criteria for ulceration, and judge the accuracy of radiologic diagnosis of ulceration. The preoperative radiologic impression of the carotid lesion was compared with the actual appearance of the lesion as seen at operation and pathologic examination. Sixteen of the lesions contained small areas of ulceration and 22 contained large ulcers, for an overall incidence of ulceration of 76%. The accuracy of the radiologic diagnosis of ulceration was 86%. Four criteria were established for radiologic ulceration. These are (1) a penetrating niche; (2) irregularity of the silhouette of the artery; (3) delayed washout of contrast medium in a segment of artery between areas of stenosis; and (4) a well-circumscribed double density of contrast medium superimposed on the artery.

Original languageEnglish (US)
Pages (from-to)491-496
Number of pages6
JournalArchives of Surgery
Volume108
Issue number4
DOIs
StatePublished - 1974
Externally publishedYes

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Atherosclerotic Plaques
Carotid Arteries
Arteries
Contrast Media
Transient Ischemic Attack
Embolism
Ulcer
Pathologic Constriction
Stroke
Incidence

ASJC Scopus subject areas

  • Surgery

Cite this

Ulcerated Atheroma of the Carotid Artery. / Blaisdell, F. William; Glickman, Morton; Trunkey, Donald.

In: Archives of Surgery, Vol. 108, No. 4, 1974, p. 491-496.

Research output: Contribution to journalArticle

Blaisdell, F. William ; Glickman, Morton ; Trunkey, Donald. / Ulcerated Atheroma of the Carotid Artery. In: Archives of Surgery. 1974 ; Vol. 108, No. 4. pp. 491-496.
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