[Indications of intraluminal shunt. In carotid surgery].
The essential clamping during carotid artery surgery requires different procedures for cerebral protection. Most surgeons prefer the use of an intra-luminal shunt allowing conservation of a part of the proximal carotid artery. A study was conducted to compare two statistically similar series of 50 patients (with a residual pressure of less than 50 mmHg) treated or not by intra-luminal shunts. Results showed a significant difference with respect to early postoperative neurologic accidents between the groups operated without (8% accidents) and with (0%) shunts. Precise indications for the use of this procedure are discussed in relation to pre- and peri-operative findings, with the aim of reducing the incidence of postoperative neurologic complications.
Service de chirurgie cardio-vasculaire, Hôpital Saint-Joseph, Marseille.
J M
JM
Jausseran
B
B
Lalanne
P
P
Bergeron
M
M
Reggi
R
R
Courbier
D000368:Aged; D001794:Blood Pressure; D002339:Carotid Arteries / Q000601:surgery*; D002340:Carotid Artery Diseases / Q000000981:diagnostic imaging / Q000601:surgery; D002533:Cerebral Angiography; D002560:Cerebrovascular Circulation; D003250:Constriction; D004691:Endarterectomy / Q000379:methods; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009422:Nervous System Diseases / Q000517:prevention & control; D011183:Postoperative Complications / Q000517:prevention & control
Les indications du shunt intra-luminal. En chirurgie carotidienne.