Click Here to return To Results

 

Risks and Benefits of Shunting in Carotid Endarterectomy Stroke 23:1583-1587, Halsey,J.H., 1992 See this aricle in Pubmed Article Abstract Severe ischemia occurred in 7.2%of our cases but cleared spontaneously in about half of these.In those with persisting ischemia the rate of severe stroke was very high,while shunting protected against stroke in such cases.If ischemia did not occur,the stroke rate was higher with shunting protected against stroke in such cases.If ischemia did not occur,the stroke rate was higher with shunting,although not so high as in unshunted cases with severe ischemia.Slightly more than one third of the severe strokes were due to postoperative cerebral hemorrhage or carotid thrombosis,unrelated to clamp-induced ischemia or shunting.Carotid endarterectomy complications might be reduced by selectively shunting only for severe persisting ischemia.Monitoring of cerebral ischemia would be essential to selective shunting.

Related Tags

(click to filter results - removes previous filter) carotid artery occlusion,neck cerebral ischemia cerebrovascular accident cerebrovascular accident,postoperative doppler,transcranial endarterectomy,carotid endarterectomy,carotid-complications of endarterectomy,carotid-internal shunt with endarterectomy,carotid-intraoperative monitoring with intracerebral hemorrhage

Click Here to return To Results