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Bilateral Common Carotid Artery Occlusion as an Adequate Preconditioning Stimulus to Induce Early Ischemic Tolerance to Focal Cerebral Ischemia
Published on: May 9, 2013
Distal carotid perfusion in combined carotid endarterectomy and OP-CABG
Parachuri V Rao1, Praveen K Hosabettu, Sanjay Dhaded
1Department of Cardiac Surgery, Narayana Hrudayalaya Institute of Medical Sciences, Bangalore, India.
Abstract:
An alternative method of maintaining carotid perfusion during combined carotid endarterectomy and off-pump coronary artery bypass grafting involves insertion of a cannula in the ascending aorta after a median sternotomy. This cannula is connected to a perfusion cannula, the distal end of which is inserted into the carotid artery beyond the carotid arteriotomy. This technique of aortico-carotid shunting and carotid perfusion was utilized in nine patients who underwent successful combined carotid endarterectomy and off-pump coronary artery bypass grafting.
