Word: carotids
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...four ascending arteries (two carotid, two vertebral) that carry blood toward the brain from the aorta's arch, just above the heart, are subject to the same types of disease as other major arteries, and they should, insisted Houston's famed surgeon Michael DeBakey (TIME, June 22, 1959), be treated the same way. If the disease is true hardening of the middle layer of the artery walls, surgery can do nothing about it. If the disease is atherosclerosis (not hardening, but clogging with fatty material), affecting only a short stretch of the ascending carotid or vertebral arteries...
Assisted by local surgeons, the doctors treated sinus cancer by cutting into the external carotid artery, inserting a thin polyethylene tube, and stitching it in place. They hooked this up to an infusion bottle and a pump, which delivered a quart of saline solution every 24 hours. So potent is the drug that this volume contained only one six-hundredth of an ounce of Methotrexate. Every six hours, a nurse gave an intramuscular injection of CF. For women with cervical cancer, polyethylene tubes are set in arteries on both sides of the lower abdomen...
...A.M.A. Journal: tiny spheres of plastic (methyl methacrylate), with metal fragments inside to show up on X rays, and ranging from 2.5 mm. to 4.2 mm. in diameter. They opened the left side of the anesthetized patient's neck to expose the main branching of the carotid artery, principal supplier of blood to the brain. At 15-minute intervals they inserted successively larger plastic emboli. All came to rest at the base of the malformation, reducing its blood supply. The last and biggest pellet lodged for a while in a wrong spot and threatened trouble, but eventually settled just...
DeBakey and his team actually performed operations on 69 victims. In some cases they reamed out carotid and other arteries leading to the brain, in others they bypassed a completely shut-down stretch of artery with a Dacron tube to carry blood from a lower stretch of healthy artery to a higher one. Among the 69 cases they found 13 for whom they could do nothing, and had five failures, but in 51 cases they reported success. In some instances this was as great as relief from a substantial degree of paralysis, or loss of speech, or partial blindness...
...white-and-gold costume, ordered him wheeled into the operating room. There, with two assisting surgeons, he assessed the damage: four broken ribs, possibly a broken fibula (calf bone), a ten-inch gash from the right ear, which was ripped open, through the area of the parotid gland and carotid artery almost to the armpit. The outlook: muy grave-critical...