To shunt or not to shunt?

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...

Carotid 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...

Right-to-Left Shunt

The patient is a 25-year-old woman transferred to Hermann Hospital 3 days after admission to an outlying facility. The patient initially woke up at 3 AM with acute onset of nausea, mild headache, hemoptysis (1⁄4/4 cup of fresh blood), and worsening shortness of breath. She then noticed weakness in the right half of her body associated with dysarthria. She had no associated chest pain or palpita...

Budd-Chiari Syndrome Transplant, Meso-Atrial Shunt or Combined Portocaval Shunt With Cavo-Atrial Shunt

apy for esophageal varices in men with alcoholic liver disease: a randomized, single blind, multicenter clinical trial. New Engl.apy for esophageal varices: long-term results of a single center trial. cirrhotics selected by endoscopic criteria a multicenter randomized controlled trial. (1992) Treatment of Budd-Chiari syndrome due to inferior oena caoa occlusion by combined portal and oena caval...

Postpneumonectomy interatrial right-to-left shunt.