Related Experiment Videos
Use of shunts with eversion carotid endarterectomy
B B Chang1, R C Darling, M Patel
1Institute for Vascular Health and Disease, Albany Medical College, NY 12208, USA.
Journal of Vascular Surgery
|September 30, 2000
Summary
Carotid shunting is effective during eversion endarterectomy, showing no increased stroke or death rates. This technique is safe for patients undergoing this common procedure.
Area of Science:
- Vascular Surgery
- Cerebrovascular Surgery
- Surgical Outcomes
Background:
- Eversion endarterectomy is a common procedure for carotid artery stenosis.
- The use of shunts during carotid endarterectomy is debated.
- Assessing shunt utility in eversion endarterectomy is crucial for patient safety.
Purpose of the Study:
- To evaluate the effectiveness of carotid shunting during eversion endarterectomy.
- To compare outcomes of eversion carotid endarterectomy with and without shunts.
Main Methods:
- A retrospective analysis of 2724 eversion carotid endarterectomies over 5 years.
- Shunts were used in 4.1% of cases, primarily under cervical block anesthesia.
- Indications for shunting included neurologic deterioration and patient instability.
Main Results:
- The shunt group experienced a combined stroke/death rate of 2.7%.
- Two of the three adverse events in the shunt group were unrelated to shunt insertion.
- One perioperative stroke occurred in the shunt group.
Conclusions:
- Carotid shunting is a viable option in eversion endarterectomy.
- Shunt use in this context does not appear to elevate the risk of stroke or death.