Abstract
The association of cervical carotid artery disease and the stroke syndrome was studied in 300 patients with carotid stenosis and occlusion. In 157 patients there was unilateral or bilateral stenosis; in 143 there was complete occlusion of one or both internal carotids near the bifurcation. Endarterectomy or exploration to establish flow was accomplished in 37 of the 157 cases of stenosis. In cases of complete occlusion, a portion of the artery was excised and cervical sympathectomy performed. Although 41% of the 720 patients with cerebrovascular disease had stenotic or occlusive disease of the carotid with vertebral-basilar systems, procedures to establish better blood flow were undertaken in only 5%. In the majority of cases the multiplicity of abnormalities made it seem inadvisable to attempt surgical correction.
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