CAROTID ENDARTERECTOMY - INDWELLING SHUNT NECESSARY

  • 1 January 1977
    • journal article
    • research article
    • Vol. 82  (3) , 321-326
Abstract
Endarterecomies (304) were performed with general anesthesia and without a temporary indwelling shunt. Eight patients (2.6%) awoke from anesthesia with a new neurological deficit. Eight additional patients later developed neurological symptoms, suggesting that the absence of a shunt did not contribute to their complication. Of these 16 patients, 2 (0.6%) died, 9 (3.0%) had a temporary neurological deficit and 5 (1.6%) had a permanent neurological deficit. A prolonged occlusion time, a stump pressure of < 50 mm Hg, or the presence of additional carotid lesions did not show a significant statistical relationship to postoperative neurological deficit.

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