Why the study?
Does carotid endarterectomy without indwelling shunts, patch grafts, or EEG monitoring result in low stroke and mortality rates?
Does carotid endarterectomy without indwelling shunts, patch grafts, or EEG monitoring result in low stroke and mortality rates?
Carotid endarterectomy performed without indwelling shunts, patch grafts, or EEG monitoring yields a low combined stroke and mortality rate of 1%.
Supports simplified CEA without shunts, patches, or EEG monitoring; leaves open randomized confirmation versus standard techniques.
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.
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Reddy et al. (1987) studied this question.
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