Carotid endarterectomy without indwelling shunts and intraoperative electrophysiologic monitoring.
Although carotid endarterectomy is a common surgical procedure in North America, controversies exist regarding the type of anesthesia, the use of indwelling shunts and the need for intraoperative cerebral monitoring. We present a prospective study of 100 carotid endarterectomies performed over a three year period by a single surgeon without the use of indwelling shunts, patch grafts, or EEG monitoring. The combined stroke and mortality rate was 1%. Our results confirm those of other authors; that indwelling shunts and EEG monitoring are not absolutely essential for a satisfactory outcome in carotid endarterectomies.
D000368:Aged; D002339:Carotid Arteries / Q000601:surgery*; D004691:Endarterectomy / Q000009:adverse effects / Q000379:methods* / Q000401:mortality; D005155:Facial Nerve Diseases / Q000209:etiology; D005260:Female; D006406:Hematoma / Q000209:etiology; D006429:Hemiplegia / Q000209:etiology; D006801:Humans; D006973:Hypertension / Q000209:etiology; D008297:Male; D008875:Middle Aged; D010243:Paralysis / Q000209:etiology; D011446:Prospective Studies