Dr C. Miller Fisher and the history of carotid artery disease
Background and Purpose: Our aim was to analyze the role that C. Miller Fisher (C.M.F.) had in promoting an understanding of carotid artery disease (CAD). Although Chiari in 1905 and later Hunt, Moniz, and Hultquist, among others, described the association of CAD and stroke, this received little atte...
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1996
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| Acceso en línea: | https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_00392499_v27_n3_p559_Estol http://hdl.handle.net/20.500.12110/paper_00392499_v27_n3_p559_Estol |
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paper:paper_00392499_v27_n3_p559_Estol2023-06-08T15:03:23Z Dr C. Miller Fisher and the history of carotid artery disease carotid artery diseases carotid endarterectomy history anticoagulation article atherosclerotic plaque brain atherosclerosis brain embolism brain vasospasm carotid artery disease carotid endarterectomy health promotion history human priority journal stroke thrombosis transient ischemic attack Background and Purpose: Our aim was to analyze the role that C. Miller Fisher (C.M.F.) had in promoting an understanding of carotid artery disease (CAD). Although Chiari in 1905 and later Hunt, Moniz, and Hultquist, among others, described the association of CAD and stroke, this received little attention until C.M.F. published his clinicoanatomic correlations in 'Occlusion of the Carotid Arteries.' Until then, some 55% of strokes were attributed to 'vasospasm.' Methods: We analyzed articles ('Occlusion of the Internal Carotid Artery,' 1951; 'Occlusion of the Carotid Arteries,' 1954; 'Transient Monocular Blindness Associated With Hemiplegia,' 1952; 'The Microembolic Theory of Transient Ischemic Attacks,' 1976; 'A Clinico- pathologic Study of Carotid Endarterectomy Plaques,' 1986) and conducted personal interviews with C.M.F. Results: During the 1950s, C.M.F. described the clinical implications of transient ischemic attacks and their relationship to CAD and stroke. The last sentence in the 1951 article read: 'Unexplained cerebral embolism may arise from thrombotic material lying in the carotid sinus.' In the same article he also wrote that 'it is even conceivable that some day vascular surgery will find a way to by-pass the occluded portion of the artery during the period of ominous fleeting symptoms,' heralding the future surgical treatment of carotid artery disease. C.M.F. called attention to the commonness of carotid disease, described transient monocular blindness, and studied the relationship between plaque pathology and clinical findings. Conclusions: C.M.F.'s clinicopathologic observations were a major factor in promoting recognition of the clinical features, stroke risk, and treatment of CAD. 1996 https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_00392499_v27_n3_p559_Estol http://hdl.handle.net/20.500.12110/paper_00392499_v27_n3_p559_Estol |
| institution |
Universidad de Buenos Aires |
| institution_str |
I-28 |
| repository_str |
R-134 |
| collection |
Biblioteca Digital - Facultad de Ciencias Exactas y Naturales (UBA) |
| topic |
carotid artery diseases carotid endarterectomy history anticoagulation article atherosclerotic plaque brain atherosclerosis brain embolism brain vasospasm carotid artery disease carotid endarterectomy health promotion history human priority journal stroke thrombosis transient ischemic attack |
| spellingShingle |
carotid artery diseases carotid endarterectomy history anticoagulation article atherosclerotic plaque brain atherosclerosis brain embolism brain vasospasm carotid artery disease carotid endarterectomy health promotion history human priority journal stroke thrombosis transient ischemic attack Dr C. Miller Fisher and the history of carotid artery disease |
| topic_facet |
carotid artery diseases carotid endarterectomy history anticoagulation article atherosclerotic plaque brain atherosclerosis brain embolism brain vasospasm carotid artery disease carotid endarterectomy health promotion history human priority journal stroke thrombosis transient ischemic attack |
| description |
Background and Purpose: Our aim was to analyze the role that C. Miller Fisher (C.M.F.) had in promoting an understanding of carotid artery disease (CAD). Although Chiari in 1905 and later Hunt, Moniz, and Hultquist, among others, described the association of CAD and stroke, this received little attention until C.M.F. published his clinicoanatomic correlations in 'Occlusion of the Carotid Arteries.' Until then, some 55% of strokes were attributed to 'vasospasm.' Methods: We analyzed articles ('Occlusion of the Internal Carotid Artery,' 1951; 'Occlusion of the Carotid Arteries,' 1954; 'Transient Monocular Blindness Associated With Hemiplegia,' 1952; 'The Microembolic Theory of Transient Ischemic Attacks,' 1976; 'A Clinico- pathologic Study of Carotid Endarterectomy Plaques,' 1986) and conducted personal interviews with C.M.F. Results: During the 1950s, C.M.F. described the clinical implications of transient ischemic attacks and their relationship to CAD and stroke. The last sentence in the 1951 article read: 'Unexplained cerebral embolism may arise from thrombotic material lying in the carotid sinus.' In the same article he also wrote that 'it is even conceivable that some day vascular surgery will find a way to by-pass the occluded portion of the artery during the period of ominous fleeting symptoms,' heralding the future surgical treatment of carotid artery disease. C.M.F. called attention to the commonness of carotid disease, described transient monocular blindness, and studied the relationship between plaque pathology and clinical findings. Conclusions: C.M.F.'s clinicopathologic observations were a major factor in promoting recognition of the clinical features, stroke risk, and treatment of CAD. |
| title |
Dr C. Miller Fisher and the history of carotid artery disease |
| title_short |
Dr C. Miller Fisher and the history of carotid artery disease |
| title_full |
Dr C. Miller Fisher and the history of carotid artery disease |
| title_fullStr |
Dr C. Miller Fisher and the history of carotid artery disease |
| title_full_unstemmed |
Dr C. Miller Fisher and the history of carotid artery disease |
| title_sort |
dr c. miller fisher and the history of carotid artery disease |
| publishDate |
1996 |
| url |
https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_00392499_v27_n3_p559_Estol http://hdl.handle.net/20.500.12110/paper_00392499_v27_n3_p559_Estol |
| _version_ |
1768543316536721408 |