TY - CHAP M1 - Book, Section TI - ARTERIOSCLEROTIC CAROTID OCCLUSIVE: SURGICAL A1 - Go, Michael R. A2 - Dean, Steven M. A2 - Satiani, Bhagwan A2 - Abraham, William T. PY - 2015 T2 - Color Atlas and Synopsis of Vascular Diseases 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). SN - PB - McGraw-Hill Medical CY - New York, NY Y2 - 2024/03/29 UR - accesssurgery.mhmedical.com/content.aspx?aid=1105290106 ER -