Akademik Veri Yönetim Sistemi
20. Uluslararası Kardiyoloji Ve Kardiyovasküler Cerrahide Yenilikler Kongresi, İstanbul, Türkiye, 6 - 09 Haziran 2024, cilt.12, ss.46-47
Background
During carotid endarterectomy, the application of traditional shunt techniques may
occasionally impede carotid artery surgery.To achieve this objective, a novel and
uncomplicated shunt method can be readily executed by inserting one arterial cannula into
the internal carotid artery distally to the clamp, and another into the common carotid artery
proximally to the clamp.
Methods
In 38 consecutive patients who need shunting during carotid endarterectomy operation;
prior to the application of clamps, the presence of plaques in both the common carotid
artery and the internal carotid artery was verified using gently palpation. Following the
placement of the cross, a 16-gauge or 14-gauge branule was inserted into the plaque-free
region of the internal carotid artery to measure the stump pressure. A second granule was
attached to the back of the initial granule using a short line and a 3-way stopcock. This
second granule was positioned near the cross clamp on the common carotid artery. With
this 3-way stopcock shunt, flow was provided from the main carotid artery to the internal
carotid artery simultaneously with stump pressure and systemic pressure
Results
The mortality rate was 0/38 in first 30 days of discharge from hospital. All patients were
monitored with Near Ifrared Sprectoscopy and stamp pressure was monitored during
operation. None of the patients had any cerebrovascular event post operation.
Conclusion
In addition to offering a bloodless surgical site, this straightforward approach can be utilized
for patients undergoing carotid endarterectomy who necessitate shunting during the
procedure. However, this procedure may provide difficulties in individuals with proximal
plaque and calcifications in the internal carotid artery.