RT Book, Section
A1 Go, Michael R.
A2 Dean, Steven M.
A2 Satiani, Bhagwan
A2 Abraham, William T.
SR Print(0)
ID 1105290106
T1 ARTERIOSCLEROTIC CAROTID OCCLUSIVE: SURGICAL
T2 Color Atlas and Synopsis of Vascular Diseases
YR 2015
FD 2015
PB McGraw-Hill Medical
PP New York, NY
SN 9780071749541
LK accesscardiology.mhmedical.com/content.aspx?aid=1105290106
RD 2024/04/25
AB A  62-year-old  Caucasian  man  presented  1  week  after  an  episode  where  he  spontaneously  dropped  a  cigarette  he  was  holding  in  his  right  hand.  He  immediately  noted  an  inability  to  grasp  objects  and  numbness  in  his  right  hand.  These  symptoms  lasted  for  2  minutes  and  then  spontaneously  resolved.  Currently,  his  right  hand  feels  completely  normal.  He  denies  other  symptoms  such  as  amaurosis,  paralysis,  paresthesias,  speech  disturbance,  or  gait  disturbance.  His  past  medical  history  is  significant  for  hypertension,  hyper-  cholesterolemia,  and  cramping  in  his  calves  when  he  walks  long  distances.  He  has  a  30  pack-year  history  of  smoking  and  denies  use  of  alcohol.  A  carotid  duplex  ultrasound  shows  a  left  70%  to  99%  internal  carotid  artery  (ICA)  stenosis.  A  surgical  option  was  elected  by  the  patient  (Figures  21-1,21-2,  and  21-3).