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Abstract
Three hundred and four consecutive endarterectomies were performed with general anesthesia
and without a temporary indwelling shunt. Eight patients (2.6%) awoke from anesthesia
with a new neurological deficit. Eight additional patients later developed neurological
symptoms, suggesting that the absence of a shunt did not contribute to their complication.
Of these 16 patients, two (0.6%) died, nine (3.0%) had a temporary neurological deficit,
and five (1.6%) had a permanent neurological deficit. A prolonged occlusion time,
a stump pressure of less than 50 mm Hg, or the presence of additional carotid lesions
did not show a significant statistical relationship to postoperative neurological
deficit.
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Article info
Footnotes
☆Presented at the Thirty-fourth Annual Meeting of the Central Surgical Association, Buffalo, N. Y., March 3–5 1977.
Identification
Copyright
© 1977 Published by Elsevier Inc.
