Subtle Cerebral Damage after Shunting vs Non Shunting during Carotid Endarterectomy
نویسندگان
چکیده
منابع مشابه
Routine Shunting is Safe and Reliable for Cerebral Perfusion during Carotid Endarterectomy in Symptomatic Carotid Stenosis
BACKGROUND The purpose of this report is to describe the perioperative outcomes of standard carotid endarterectomy (CEA) with general anesthesia, routine shunting, and tissue patching in symptomatic carotid stenoses. MATERIALS AND METHODS Between October 2007 and July 2011, 22 patients with symptomatic carotid stenosis (male/female, 19/3; mean age, 67.2±9.4 years) underwent a combined total o...
متن کاملRisks and Benefits of Shunting in Carotid Endarterectomy
Background and Purpose: Controversy continues about the pathogenesis of perioperative stroke in carotid endarterectomy and the use of shunting. The purpose of this study was to determine, using transcranial Doppler ultrasonography, the severity of ischemia during clamping of the carotid artery as a basis for analysis of complications in patients operated on with and without shunting. Methods: I...
متن کاملPreoperative Digital Carotid Compression as a Predictor of the Need for Shunting During Carotid Endarterectomy
This study prospectively attempted to assess the need for shunting by preoperative digital compression of the proximal common carotid artery and correlated these findings with intraoperative assessment while performing carotid endarterectomy under local anaesthesia. Preoperative digital compression is highly predictive of the need for shunting intra-operatively and can be used as a valuable tes...
متن کاملAcetazolamide stress brain-perfusion SPECT predicts the need for carotid shunting during carotid endarterectomy.
UNLABELLED Although carotid shunting is occasionally necessary to prevent cerebral ischemia during carotid endarterectomy, there is no reliable indication for this procedure. The purpose of this study was to evaluate whether acetazolamide stress brain-perfusion SPECT can predict the need for carotid shunting during carotid endarterectomy. METHODS Basal and acetazolamide stress brain-perfusion...
متن کاملRoutine or selective carotid artery shunting for carotid endarterectomy (and different methods of monitoring in selective shunting).
BACKGROUND Temporary interruption of cerebral blood flow during carotid endarterectomy can be avoided by using a shunt across the clamped section of the carotid artery. This may improve outcome. This is an update of a Cochrane Review originally published in 1996 and previously updated in 2001. OBJECTIVES To assess the effect of routine versus selective, or never, shunting during carotid endar...
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ژورنال
عنوان ژورنال: European Journal of Vascular and Endovascular Surgery
سال: 2007
ISSN: 1078-5884
DOI: 10.1016/j.ejvs.2007.05.028