Carotid Artery Disease

Louis R. Caplan; Aishwarya Aggarwal

doi:10.1017/9781009030854.020

Chapter Fifteen - Carotid Artery Disease

from Types of Stroke

Published online by Cambridge University Press: 13 December 2022

Louis R. Caplan and

Aishwarya Aggarwal

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Louis R. Caplan: Affiliation:
Beth Israel Deaconess Medical Centre
Aishwarya Aggarwal: Affiliation:
John F. Kennedy Medical Center

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Summary

Carotid artery occlusion and the occurrence of ocular and hemispheric signs became recognized during the latter years of the nineteenth century. Surgical ligations of the carotid artery were attempted during the twentieth century. A prevalent notion at the time was that intracranial vasospasm of small vessels precipitated by extracranial carotid disease caused the symptoms. For this reason, the most popular treatment for carotid disease was sympathectomy. C. M. Fisher first suggested that “bypassing” the occluded carotid artery segment could preclude clinical manifestations. His contributions were a quantum leap in understanding the mechanisms of carotid stroke. More than half a century after his landmark publication, treatment of carotid artery stenosis is still debated.

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Type: Chapter
Information: Stories of Stroke
Key Individuals and the Evolution of Ideas
, pp. 109 - 118

DOI: https://doi.org/10.1017/9781009030854.020 [Opens in a new window]

Publisher: Cambridge University Press

Print publication year: 2022

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References

Notes and References

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