A RETROSPECTIVE COMPARISON OF THE USE OF SHUNTS DURING CAROTID ENDARTERECTOMY
- 1 January 1980
- journal article
- research article
- Vol. 151 (1) , 81-84
Abstract
The incidence of intraoperative stroke among 152 operations performed under hypercarbic general anesthesia without carotid artery shunting, 260 operations performed under hypercarbia and normocarbia anesthesia with selective shunting based upon internal carotid artery back pressure and 366 operations performed under normocarbia anesthesia with routine carotid artery shunting. Chi-square analysis determined that routine carotid shunting was associated with a significant reduction in the incidence of intraoperative stroke among patients with previous transient ischemic attacks. Routine and selective shunting, depending upon internal carotid artery back pressure, reduced the incidence of intraoperative stroke among patients with subtotal stenosis of the contralateral internal carotid artery. Considering the safety, simplicity and wide availability of Silastic carotid artery shunts, their routine use during carotid endarterectomy appears preferable to more elaborate and expensive methods of intraoperative cerebral protection.This publication has 3 references indexed in Scilit:
- STAGED AND COMBINED SURGICAL APPROACH TO SIMULTANEOUS CAROTID AND CORONARY VASCULAR-DISEASE1978
- INTERNAL CAROTID BACK PRESSURE, INTRAOPERATIVE SHUNTING, ULCERATED ATHEROMATA, AND INCIDENCE OF STROKE DURING CAROTID ENDARTERECTOMY1978
- Stroke and mortality rate in carotid endarterectomy: 228 consecutive operations.Stroke, 1977