Carotid endarterectomy using a "home-constructed'' shunt for patients intolerant to cross-clamping

Ugurlucan M., FILIK M. E., CAGLAR I. M., ZENCIRCI E., Sayin O. A., AYDINER O., ...More

SURGERY TODAY, vol.45, no.3, pp.284-289, 2015 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 45 Issue: 3
  • Publication Date: 2015
  • Doi Number: 10.1007/s00595-014-0896-2
  • Journal Name: SURGERY TODAY
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.284-289
  • Istanbul University Affiliated: Yes

Abstract

Purposes There is a small minority of patients with occlusive carotid artery disease, who are at high-risk for general anesthesia because of their intolerance to carotid flow blockage, even if only for seconds, without neurologic deficit. Even <30 s of temporary clamping of the carotid arteries to deploy a shunt may prove eventful in this patient group. We define safe carotid endarterectomy after the insertion of a novel shunt that we made from simple medical equipment in this patient population.