| A newly developed shunt system for carotid surgery: T-shaped silicone shunt tubes and clamping devices: technical note. | |
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MedLine Citation:
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PMID: 9588568 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Although the use of a shunt during carotid endarterectomy has been controversial, a convenient shunt system is still required. METHODS: We have devised an intraluminal shunt system, T-shaped silicone shunt tubes, and clamping devices for carotid surgery. The tube has enough pliability and length to be used in a looped or U-shaped mode and constructs a T-shape with a side arm available for monitoring blood pressure in the shunt system. Clamping devices, such as modified Sugita ring clips and encircle type bulldog clamps, make it possible to hold the tube by a simple maneuver and to minimize the intimal damage. RESULTS: This shunt system has been used in 170 carotid endarterectomies and other 10 carotid surgical operations, and the mortality and morbidity rates were 0% and 2.4%, respectively. CONCLUSION: This shunt system can be safely and easily used for cervical carotid surgery. |
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Authors:
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T Shima; Y Okada; M Nishida; K Yamane |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Neurosurgery Volume: 42 ISSN: 0148-396X ISO Abbreviation: Neurosurgery Publication Date: 1998 May |
Date Detail:
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Created Date: 1998-07-14 Completed Date: 1998-07-14 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 7802914 Medline TA: Neurosurgery Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 1182-4; discussion 1184-5 Citation Subset: IM |
Affiliation:
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Department of Neurosurgery, Chugoku Rousai Hospital, Kure, Japan. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Brain Ischemia
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prevention & control* Carotid Artery, Common / surgery* Carotid Artery, Internal / surgery* Constriction Embolism / etiology Endarterectomy, Carotid / methods* Equipment Design Hematoma / etiology Hemiplegia / etiology Humans Vascular Surgical Procedures / adverse effects, instrumentation* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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