Article1 September 1959SURGICAL TREATMENT OF LESIONS PRODUCING ARTERIAL INSUFFICIENCY OF THE INTERNAL CAROTID, COMMON CAROTID, VERTEBRAL, INNOMINATE AND SUBCLAVIAN ARTERIESMICHAEL E. DE BAKEY, M.D., E. STANLEY CRAWFORD, M.D., WILLIAM S. FIELDS, M.D.MICHAEL E. DE BAKEY, M.D.Search for more papers by this author, E. STANLEY CRAWFORD, M.D.Search for more papers by this author, WILLIAM S. FIELDS, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-51-3-436 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptIt is now well established that cerebral arterial insufficiency may often be caused by occlusive lesions located in the extracranial segments of the arteries supplying the brain.1-3, 9-12, 14Although its incidence has not been accurately established, more extensive application of arteriographic technics in the study of these patients indicates that such lesions may be present extracranially in the neck or chest in over one third of the cases. The occlusion in these patients occurs in certain characteristic locations, namely, the internal carotid artery near its origin from the common carotid artery, the innominate, left common carotid, and left subclavian...Bibliography1. 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Author, Article, and Disclosure InformationAffiliations: Houston, Texas*Received for publication May 16, 1959.Presented at the Fortieth Annual Session of The American College of Physicians, Chicago, Illinois, April 24, 1959.From the Cora and Webb Mading Department of Surgery and the Department of Neurology, Baylor University College of Medicine, and the surgical services of the Jefferson Davis, Methodist and Veterans Administration Hospitals, Houston, Texas.†Supported in part by U. S. Public Health Service Grant No. H-3137 and the Houston Heart Association.Requests for reprints should be addressed to Michael E. De Bakey, M.D., Department of Surgery, Baylor University College of Medicine, Houston 25, Texas. 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