title: Preoperative digital carotid compression as a predictor of the need for shunting during carotid endarterectomy.
abstract: This study prospectively attempted to assess the need for shunting by preoperative digital compression of the proximal common carotid artery and correlated these findings with intraoperative assessment while performing carotid endarterectomy under local anaesthesia. Preoperative digital compression is highly predictive of the need for shunting intra-operatively and can be used as a valuable test in carefully chosen patients. This may help in decreasing the need for advanced neurological monitoring during carotid endarterectomy.
authors.affiliation: Department Clinical Surgical Sciences, The University of the West Indies, St. Augustine, Trinidad West Indies.
authors.forename: Vijay
authors.initials: V
authors.lastname: Naraynsingh
authors.affiliation: Department Clinical Surgical Sciences, The University of the West Indies, St. Augustine, Trinidad West Indies.
authors.forename: Patrick
authors.initials: P
authors.lastname: Harnarayan
authors.affiliation: Department Clinical Surgical Sciences, The University of the West Indies, St. Augustine, Trinidad West Indies.
authors.forename: Ravi
authors.initials: R
authors.lastname: Maharaj
authors.affiliation: Department Clinical Surgical Sciences, The University of the West Indies, St. Augustine, Trinidad West Indies.
authors.forename: Dilip
authors.initials: D
authors.lastname: Dan
authors.affiliation: Department Clinical Surgical Sciences, The University of the West Indies, St. Augustine, Trinidad West Indies.
authors.forename: Seetharaman
authors.initials: S
authors.lastname: Hariharan
keywords: Carotid endarterectomy; Carotid monitoring.; Carotid shunting