The routine or selective use of an intraarterial shunt during carotid endar terectomy (CEA) remains a controversial issue. Numerous investigators have proposed various shunting devices in an effort to minimize possible associated complications. The presented case illustrates an unusual complication that de veloped during a CEA, felt to be related to a malfunction of a Pruitt-Inahara (P I) shunt.
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References
1.
Ferguson GG: Carotid endarterectomy: To shunt or not to shunt? Arch Neurol43:615-616, 1986.
2.
Ojemann RG, Heros RC: Carotid endarterectomy: To shunt or not to shunt? Arch Neurol43:617-618, 1986.
3.
Whitney DG, Kahn EM, Eses JW, et al: Carotid artery surgery without a temporary indwelling shunt: One thousand nine hundred seventeen consecutive procedures. Arch Surg115:1393-1399, 1980.
4.
Bland JE, Lazar ML: Carotid endarterectomy without a shunt. Neurosurgery8:153-157, 1981.
5.
Allen GS, Preziosi TJ: Carotid endarterectomy: A prospective study of its efficacy and safety . Medicine60:298-309, 1981.
6.
Thompson JE: Complications of endarterectomy and their prevention. World J Surg3:155-165, 1979.
Sundt TM, Sharbrough FW, Piepgras DG, et al: Correlation of cerebral blood flow and encephalographic changes during carotid endarterectomy with results of surgery and hemodynamics of cerebral ischemia. Mayo Clin Proc56:533-534, 1981.
9.
Fogarty TJ, Kinney TB, Finn JC, et al: A new vascular clamp. Surg Gynecol Obstet160:264-265, 1985.
10.
McCaughan JJ Jr, Young JM: Intra-arterial occlusion in vascular surgery . Annals of Surgery171:695-703, 1970.
11.
Foster JH, Carter JW, Graham CP, Edwards WH: Arterial injuries secondary to the use of the Fogarty catheter. Ann Surg171:971-978, 1970.
12.
Byrnes G., MacGowan WAL: The injury potential of Fogarty balloon catheters. J Cardiovasc Surg16:590-593, 1975.
13.
Jorgensen RA , Dobrin PB: Balloon embolectomy catheters in small arteries. IV. Correlation of shear forces with histologic injury . Surgery93:798-808, 1983.
14.
Mukherjee D. , Inahara T.: Another use of the shunt in vascular surgery . Am J Surg146:385-386, 1983.
