Routine use of a shunt for carotid endarterectomy.
A temporary inlying shunt used during carotid endarterectomy is the ideal method of cerebral protection. The data presented suggest that if meticulous technique is used, the potential complications of a shunt may be avoided and excellent clinical results expected. When a shunt is used properly, carotid endarterectomy may be performed in a teaching situation with a high degree of safety.
D002545:Brain Ischemia / Q000517:prevention & control*; D002343:Carotid Artery, Internal / Q000601:surgery*; D002561:Cerebrovascular Disorders / Q000175:diagnosis / Q000601:surgery*; D004691:Endarterectomy / Q000379:methods*; D006801:Humans; D002546:Ischemic Attack, Transient / Q000601:surgery; D008875:Middle Aged; D011183:Postoperative Complications; D013536:Suture Techniques