Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
1
pubmed:dateCreated
1980-8-25
pubmed:abstractText
In this report, compared in retrospect is the incidence of intraoperative stroke among 152 operations performed under hypercarbic general anesthesia without carotid artery shunting, 260 operations performed under both hypercarbia and normocarbia anesthesia with selective shunting based upon internal carotid artery back pressure and 366 operations performed under normocarbia anesthesia with routine carotid artery shunting. Chi-square analysis determined that routine carotid shunting was associated with a significant reduction in the incidence of intraoperative stroke among patients with previous transient ischemic attacks. In addition, both routine shunting and selective shunting, depending upon internal carotid artery back pressure, reduced the incidence of intraoperative stroke among patients with subtotal stenosis of the contralateral internal carotid artery. Considering the safety, simplicity and wide availability of Silastic carotid artery shunts, their routine use during carotid endarterectomy appears advisable in preference to more elaborate and expensive methods of intraoperative cerebral protection.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Jul
pubmed:issn
0039-6087
pubmed:author
pubmed:issnType
Print
pubmed:volume
151
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
81-4
pubmed:dateRevised
2009-11-11
pubmed:meshHeading
pubmed:year
1980
pubmed:articleTitle
A retrospective comparison of the use of shunts during carotid endarterectomy.
pubmed:publicationType
Journal Article, Comparative Study