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Special Problems Associated With Surgical and Thrombolytic Treatment of Strokes

WILLIAM K. HASS, MD; ROY H. CLAUSS, MD; ARTHUR F. GOLDBERG, MD; ALAN L. JOHNSON, MD; ANTHONY M. IMPARATO, MD; JOSEPH RANSOHOFF, MD
Arch Surg. 1966;92(1):27-31. doi:10.1001/archsurg.1966.01320190029006.
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IN RECENT years many new approaches to the treatment of cerebral infarction due to occlusive cerebral vascular disease have appeared. The most important of these have been anticoagulants,1,2 fibrinolytic agents,3-5 and surgical excision of occlusive lesions in the major extracranial arteries supplying the brain.6-8 The previous hopeless, helpless attitude of the physician treating the stroke patient has, as a result, been replaced by enthusiasm for these as yet incompletely evaluated methods. In recent months this fervor has been further stimulated by the report of the President's Commission on Heart Disease, Cancer and Stroke.9 This paper will describe special complications of surgical and thrombolytic procedures which deserve attention and present very recent advances in surgical concept and technique which promise to overcome areas of potential difficulty and to markedly improve present therapeutic results.10,11

This report is based on an analysis of 97 operative procedures in the

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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