title: Carotid artery surgery without a temporary indwelling shunt. 1,917 consecutive procedures.
abstract: One thousand nine hundred seventeen consecutive carotid artery operations were performed in which the carotid artery was clamped for as long as necessary to accomplish a revascularization procedure. Those patients adversely affected by failure to use a shunt were identified. Results of a statistical analysis of stroke morbidity when compared with the literature show that the use of an intraoperative temporary shunt does not offer improved results in carotid artery surgery.
mesh_terms: D000328:Adult; D000368:Aged; D000770:Anesthesia, Endotracheal; D002339:Carotid Arteries / Q000601:surgery*; D002548:Cerebral Revascularization / Q000379:methods; D002561:Cerebrovascular Disorders / Q000209:etiology; D005260:Female; D006801:Humans; D002546:Ischemic Attack, Transient / Q000209:etiology; D008297:Male; D008722:Methods; D008875:Middle Aged; D011183:Postoperative Complications