Key result
During carotid endarterectomy, technical problems were more common when shunts were used (5%) compared to when they were not (0.9%), with no clear net benefit established for selective shunting.
Why the study?
Does EEG monitoring and selective shunting improve outcomes and prevent perioperative strokes in patients undergoing carotid endarterectomy?
Observational (n=562)
Does EEG monitoring and selective shunting improve outcomes and prevent perioperative strokes in patients undergoing carotid endarterectomy?
Absolute Event Rate: 5% vs 0.9%
Routine EEG monitoring and selective shunting during carotid endarterectomy may not offer a net benefit, as the technical risks of shunting can outweigh the risks of hemodynamic ischemia unless the patient has a prior stroke.
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Shunt use in CEA linked to more technical problems without net benefit; leaves open whether EEG-guided selective shunting improves outcomes.
Green et al. (1985) conducted an observational in Carotid artery disease (n=562). Shunt use vs. No shunt use was evaluated on Technical problems. During carotid endarterectomy, technical problems were more common when shunts were used (5%) compared to when they were not (0.9%), with no clear net benefit established for selective shunting.
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