Carotid artery reconstruction with the aid of perfusion

THE invasion of the carotid arterial system by malignant glands in the neck has been regarded as a contra-indication to surgery, the reason being that excision with interruption of the cerebral circulation would be required and as a result there would be a high incidence of cerebral damage. There is considerable variation in the degree of collateral circulation to a cerebral hemisphere and it is upon this adventitious blood-supply that cerebral function depends in the post-operative period. Although it is