This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Barnes, R. W. Search for Related Content PubMed Articles by Barnes, R. W. Social Bookmarking                         What's this?

Technical Aspects of Carotid Artery Surgery

Department of Surgery, University of Arkansas for Medical Sciences and the Surgical Service, McClellan Veterans Administration Medical Center, Little Rock, Arkansas

This article reviews the step-by-step description of the author's operative technique in performing a carotid endarterectomy. Technical precision remains the most important factor in reducing the risk of perioperative stroke. An in dwelling shunt is used selectively based upon the internal carotid back pressure or intraoperative monitoring of the electroencephalogram. Intraoperative use of a sterile Doppler probe permits comfirmation of flow abnormalities detected in noninvasive examinations preoperatively, documents flow in an indwelling shunt, and assures patency of the carotid artery and its branches after endar terectomy. Postoperatively noninvasive diagnostic techniques permit assessment of carotid integrity in patients suffering neurologic deficits, and serial studies provide objective evidence of the incidence of recurrent stenosis or disease pro gression. Using these diagnostic and therapeutic principles the author reviews the results of his series of patients in a residency training program.

Vascular and Endovascular Surgery, Vol. 19, No. 3, 187-196 (1985)
DOI: 10.1177/153857448501900307


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?