Carotid endarterectomy in an awake patient with contralateral carotid occlusion: Influence of selective shunting

Piermarco Locati, Anna Maria Socrate, Gaetano Lanza, Antonio Tori, Sandro Costantini

Research output: Contribution to journalArticle

Abstract

The objectives of this study were to determine whether the presence of a contralateral carotid occlusion increases risk and whether the perioperative results are influenced by a systematic or selective policy of shunting during carotid endarterectomy (CEA) in an awake patient. In a retrospective study we compared patients with and without contralateral carotid occlusion (group I, n = 198 - group II, n = 1068) who required CEA. In 77 patients of group I, a shunt was systematically adopted (subgroup A); in the other 121 patients (subgroup B) and in all patients of group II a selective shunting policy was adopted. The risk for the patients with contralateral carotid occlusion was not significantly higher than that for patients without occlusion. Results were not influenced by systematic/selective shunting policy, and the incidence of signs of cerebral ischemia was higher in patients with contralateral carotid occlusion.

Original languageEnglish
Pages (from-to)457-462
Number of pages6
JournalAnnals of Vascular Surgery
Volume14
Issue number5
DOIs
Publication statusPublished - 2000

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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