Document Detail

A newly developed shunt system for carotid surgery: T-shaped silicone shunt tubes and clamping devices: technical note.
MedLine Citation:
PMID:  9588568     Owner:  NLM     Status:  MEDLINE    
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.
T Shima; Y Okada; M Nishida; K Yamane
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Neurosurgery     Volume:  42     ISSN:  0148-396X     ISO Abbreviation:  Neurosurgery     Publication Date:  1998 May 
Date Detail:
Created Date:  1998-07-14     Completed Date:  1998-07-14     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7802914     Medline TA:  Neurosurgery     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1182-4; discussion 1184-5     Citation Subset:  IM    
Department of Neurosurgery, Chugoku Rousai Hospital, Kure, Japan.
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MeSH Terms
Brain Ischemia / prevention & control*
Carotid Artery, Common / surgery*
Carotid Artery, Internal / surgery*
Embolism / etiology
Endarterectomy, Carotid / methods*
Equipment Design
Hematoma / etiology
Hemiplegia / etiology
Vascular Surgical Procedures / adverse effects,  instrumentation*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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