engleski

Carotid Artery Reconstruction and Routine Use of Intraluminal Shunt

Complications of carotid artery reconstruction were reviewed in two groups of patients. In group A (213 patients, operation 1978-85) the surgical procedure varied according to intraoperatively measured back presaure in the internal carotid artery (ACI), with temporary intraluminal shunt when the ACI pressure was <5O mmHg, but no shunt when the pressure was higher. In group B (339 patients, operation 1986-93), shunt was used in all cases. The incidence of complications was higher in group A than in group B (21.6% vs 13%). Temporary or permanent neurologic deficit occurred in 11.3% of the group A patients and in 5.6% of the group 13 patients. Routine use of temporary intraiuminal shunt thus resulted in fewer complications of carotid artery surgery and allowed the surgeon to work undisturbed, a prerequisite for a succcssful outcome.

carotid artery; intraluminal shunt; reconstruction

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