The Risk-Benefit Ratio of Intraoperative Shunting during Carotid Endarterectomy
نویسندگان
چکیده
منابع مشابه
Preoperative 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 کاملSelective Patch Angioplasty and Intraoperative Shunting in Carotid Endarterectomy: A Single-Center Review of 141 Procedures.
OBJECTIVE Open surgical treatment of carotid artery stenosis, namely, carotid endarterectomy (CEA), has evolved since its inception in 1953. Despite improvements in the treatment of carotid occlusive disease through technological and surgical innovations, the use of patch grafting in CEA's remains controversial. We evaluate the durability of the primary closure and the safety of selective shunt...
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 کاملCorrelation of contralateral stenosis and intraoperative electroencephalogram change with risk of stroke during carotid endarterectomy.
Two hundred ninety-three carotid endarterectomies were performed with electroencephalogram (EEG) monitoring and without the use of a shunt. Two hundred sixteen patients had contralateral carotid stenosis of less than 70%; 45 had contralateral stenosis of 70 to 99%; and 32 had contralateral occlusion. There were six perioperative strokes (2.0%) and two deaths (0.7%). Major EEG changes were seen ...
متن کاملEDITORIAL: Intraoperative Duplex Imaging of Carotid Endarterectomy
Improved outcome following carotid endarterectomy becoming the favoured technique for completion imis dependent upon low surgical morbidity and moraging, because it provides both anatomical and haemotality rates. Guidelines for performing carotid enddynamic information without increasing the risk of arterectomy recommend that surgeons should have a the procedure. documented complication rate of...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
ژورنال
عنوان ژورنال: Annals of Surgery
سال: 1986
ISSN: 0003-4932
DOI: 10.1097/00000658-198602000-00014