The carotid surgical experience of Cheltenham General Hospital over a 13 year period (1968-81) is presented. This includes 42 operations for stenosis, and 12 further operations for carotid body tumour, carotid aneurysm, subclavian steal syndrome and trauma to the internal carotid artery. The operative techniques and complications are briefly discussed and reasons advanced for a more agressive a...

A 72-year-old male presented to the emergency department with gait instability and unclear speech. Computed tomography of the brain showed old lacunar infarcts in basal ganglia. Transcranial Doppler (TCD) sonography was normal. Extracranial Duplex sonography showed indirect hemodynamic signs of bilateral subclavian artery stenosis and both vertebral arteries also showed delayed systolic flow in...

Bilateral carotid artery stenosis in the context of subclavian steal syndrome is an extremely rare finding. We report case a 75-year-old woman who presented with transient ischemic attack. internal associated left was diagnosed. Left endarterectomy performed under locoregional anesthesia. Inflation blood pressure cuff reversed neurologic symptoms that appeared after clamping. This rarely report...