Extracranial angiopathology, within the scope of justified surgical aggression and particular emphasis upon "impending stroke". Surgical considerations with 1-10 years follow-up report of 300 operated cases.
Overall surgical experience in dealing with extracranial angiopathology on the basis of 300 cases submitted to surgical reconstitution is hereby presented, together with long term observations covering a period of 1-10 years. Particular emphasis is given to the concept of prophylaxis which has to be considered as the major goal of contemporary operative approach, by means of "preventing" ischemic episode rather than "reducing" an already established infarct. Spectrum of surgical indications covers mainly transient attacks of brain ischemia with attention focused upon the selective group of patients with "impending stroke" semiology, who although considered asymptomatic, are by no means as such if carefully investigated. "Avant garde" philosophy of operative approach as instituted is fully outlined, with all merits of a fully justified surgical aggression, accordingly discussed.