title: Our experience with carotid endarterectomy without patch and shunt.
abstract: The purpose of the present study was to assess the efficacy of endarterectomy without patch and shunt using a homogeneous group of patients. From January 1987 through December 1994, ninety-eight patients (70 males and 28 females) with mean age 67 years and unilateral atherosclerotic carotid stenosis underwent endarterectomy without the use of a shunt, patch, EEG, stump pressure measurements or other methods. The patients were preoperatively classified into three groups according to clinical symptoms. The overall neurologic morbidity consisted of 2 (2%) permanent and 3 (4%) temporary deficits. Based on our results we concluded that endarterectomy without a shunt is a simple, safe method in cases with no hemodynamically concomitant significant lesions. The neurological complications are probably due to embolization rather than temporary ischemia during operation.
authors.affiliation: Department of Vascular Surgery, KAT Hospital, Athens, Greece.
authors.forename: V
authors.initials: V
authors.lastname: Andrikopoulos
authors.forename: I
authors.initials: I
authors.lastname: Antoniou
authors.forename: G
authors.initials: G
authors.lastname: Papacharalambous
authors.forename: P
authors.initials: P
authors.lastname: Panousis
mesh_terms: D000368:Aged; D001161:Arteriosclerosis / Q000401:mortality / Q000601:surgery*; D016893:Carotid Stenosis / Q000401:mortality / Q000601:surgery*; D016022:Case-Control Studies; D002493:Central Nervous System Diseases / Q000453:epidemiology; D016894:Endarterectomy, Carotid / Q000379:methods*; D005260:Female; D006801:Humans; D007430:Intraoperative Care / Q000379:methods; D007431:Intraoperative Complications / Q000453:epidemiology; D008297:Male; D011183:Postoperative Complications / Q000453:epidemiology; D013997:Time Factors; D016896:Treatment Outcome