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Carotid Endarterectomy Without Indwelling Shunts and Intraoperative Electrophysiologic Monitoring

Published online by Cambridge University Press:  18 September 2015

Kesava Reddy ,
Michael West  and
Brian Anderson
Kesava Reddy
Affiliation:
Section of Neurosurgery, Department of Surgery
Michael West*
Affiliation:
Section of Neurosurgery, Department of Surgery
Brian Anderson
Affiliation:
Section of Neurology, Department of Medicine, University of Manitoba, Winnipeg, Manitoba
*
307, 400 Tache Avenue, Winnipeg, Manitoba, Canada R2H 3C3
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Abstract:

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Although carotid endarterectomy is a common surgical procedure in North America, controversies exist regarding the type of anesthesia, the use of indwelling shunts and the need for intraoperative cerebral monitoring. We present a prospective study of 100 carotid endarterectomies performed over a three year period by a single surgeon without the use of indwelling shunts, patch grafts, or EEG monitoring. The combined stroke and mortality rate was 1%. Our results confirm those of other authors; that indwelling shunts and EEG monitoring are not absolutely essential for a satisfactory outcome in carotid endarterectomies.

Type
Original Articles
Information
Canadian Journal of Neurological Sciences , Volume 14 , Issue 2 , May 1987 , pp. 131 - 135
Copyright
Copyright © Canadian Neurological Sciences Federation 1987

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