Carotid endarterectomy: to shunt or not to shunt.
نویسندگان
چکیده
منابع مشابه
Carotid Endarterectomy: To Shunt or Not to Shunt
Because of controversies in the cerebrovascular literature regarding the use of an intraluminai shunt in carotid endarterectomy, we report a randomized prospective study of 118 consecutive symptomatic patients receiving surgery within a single neurosurgical practice. Over 4 years, 138 carotid endarterectomies were performed in the 118 patients, 63 operations with intraluminai shunting and 75 wi...
متن کاملCarotid endarterectomy. To shunt or not to shunt?
Because of controversies in the cerebrovascular literature regarding the use of an intraluminal shunt in carotid endarterectomy, we report a randomized prospective study of 118 consecutive symptomatic patients receiving surgery within a single neurosurgical practice. Over 4 years, 138 carotid endarterectomies were performed in the 118 patients, 63 operations with intraluminal shunting and 75 wi...
متن کاملSelective shunt during carotid endarterectomy using routine awake test with respect to a lower shunt rate
PURPOSE To evaluate shunt rate and discuss the resultsrelated to selective shunt placement during carotid endarterectomy (CEA) using routine awake test. METHODS Patients with CEA from 2007 to 2011 were retrospectively reviewed from prospectively collected data. The need for shunt placement was determined by the awake test, based on the alteration in the neurologic examination. We collected da...
متن کاملSurgical outcome of the non-shunt carotid endarterectomy.
BACKGROUND AND OBJECTIVE Nearly 60 years after the advent of carotid endarterectomy (CEA), controversy continues regarding the necessity of an indwelling shunt during carotid reconstruction. Reasonable arguments have been made for monitoring-dependent shunting, and remarks can be made in favor of non-shunt procedure. Based on the results of several studies, most strokes after CEA are thromboemb...
متن کاملDistal Cervical Carotid Artery Dissection after Carotid Endarterectomy: A Complication of Indwelling Shunt
The technical factors and surgical methods employed in carotid endarterectomy are controversial. In particular, whether or not to use an indwelling arterial shunt during carotid endarterectomy remains a source of conflict. We describe a rare case in which uncomplicated carotid endarterectomy was followed by distal internal carotid artery dissection and suggest that this devastating complication...
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ژورنال
عنوان ژورنال: Stroke
سال: 1988
ISSN: 0039-2499,1524-4628
DOI: 10.1161/01.str.19.12.1485