Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
11
pubmed:dateCreated
2006-11-24
pubmed:abstractText
Temporary intraluminal shunt was used during 72 consecutive carotid endarterectomies (CEAs) in 61 patients (bilateral CEA in 11 patients) during October 2001 and September 2005. The medical records of these patients were retrospectively reviewed. All procedures were performed with routine shunt insertion without monitoring such as electroencephalography. Pre- and postoperative diffusion-weighted magnetic resonance (MR) imaging was used to detect ischemic complications. Postoperative angiography was performed in 70 cases to detect abnormalities such as major stenosis or dissection of the distal end. Symptomatic ischemic complication occurred in one patient at 1 month. Postoperative diffusion-weighted MR imaging detected new hyperintense lesions in three patients including the symptomatic patient. Postoperative angiography confirmed that the distal end was satisfactory in all cases. The incidence of ischemic lesions of embolic origin after CEA with routine shunt usage is acceptably low if the procedure of shunt device insertion and removal is meticulously conducted.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Nov
pubmed:issn
0470-8105
pubmed:author
pubmed:issnType
Print
pubmed:volume
46
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
529-33; discussion 534
pubmed:meshHeading
pubmed-meshheading:17124367-Aged, pubmed-meshheading:17124367-Aged, 80 and over, pubmed-meshheading:17124367-Blood Vessel Prosthesis, pubmed-meshheading:17124367-Brain, pubmed-meshheading:17124367-Brain Ischemia, pubmed-meshheading:17124367-Carotid Artery, Internal, pubmed-meshheading:17124367-Carotid Artery Diseases, pubmed-meshheading:17124367-Diffusion Magnetic Resonance Imaging, pubmed-meshheading:17124367-Endarterectomy, Carotid, pubmed-meshheading:17124367-Female, pubmed-meshheading:17124367-Humans, pubmed-meshheading:17124367-Incidence, pubmed-meshheading:17124367-Male, pubmed-meshheading:17124367-Middle Aged, pubmed-meshheading:17124367-Monitoring, Physiologic, pubmed-meshheading:17124367-Postoperative Complications, pubmed-meshheading:17124367-Predictive Value of Tests, pubmed-meshheading:17124367-Preoperative Care, pubmed-meshheading:17124367-Prognosis, pubmed-meshheading:17124367-Retrospective Studies, pubmed-meshheading:17124367-Treatment Outcome
pubmed:year
2006
pubmed:articleTitle
Incidence of ischemic lesions by diffusion-weighted imaging after carotid endarterectomy with routine shunt usage.
pubmed:affiliation
Department of Neurosurgery, Showa General Hospital, Kodaira, Tokyo, Japan.
pubmed:publicationType
Journal Article