Levin, Sheldon M.; Sondheimer, Fred
September 1971
Angiology;Sep1971, Vol. 22 Issue 8, p463
Academic Journal
Three patients with cerebrovascular insufficiency were shown by angiography to have extensive fibromuscular hyperplasia of the internal carotid arteries. They were operated upon, and graduated internal dilatation of these vessels was carried out under direct vision. Pressure gradients across these segments were eliminated in the two instances that they were measured. All patients have been asymptomatic, 47, 42, and 23 mouths later. Two of the three patients had repeat angiography, 27 and 12 months after their operations, revealing improvement in the appearance of the arteries. Although there is uncertainty about the long-term follow-up, it is felt that the management described is the best available for the problem and should be recommended.


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