Abstract
The author describes a simple and reliable procedure to place an intraluminal shunt during carotid surgery. In combination with the use of the double-balloon shunt, this procedure enables one to introduce the caudal portion of the shunt into the common carotid artery without any of the massive bleeding that occasionally interferes with shunt insertion.
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References
1.
1.
Ojemann RG
,
Heros RC
,
Crowell RM
: Surgical Management of Cerebrovascular Disease , ed. 2 . Baltimore : Williams & Wilkins ,1988 . pp 35 -75 .
2.
2.
Carstensen G
,
Balzer K
: Occlusions of the carotid arteries . In: Vasular Surgery , ed. by
Heberer G
,
van Dogen RJAM
. Berlin : Springer-Verlag ,1989 . pp 463 -476 .
3.
3.
Greenhalgh RM
: Selective shunting during carotid endarterectomy . In: Vascular Surgical Techniques , ed. 2 , ed. by
Greenhalgh RM
. London : WB Saunders ,1989 . pp 89 -93 .
4.
4.
Moore WS
: Indications and surgical technique for repair of extracranial occlusive lesions . In: Vascular Surgery , ed. 3 , ed. by
Rutherford RB
. Philadelphia : WB Saunders ,1989 . pp 1373 -1391 .
5.
5.
Thompson JE
: Carotid endarterectomy . In: Vascular Surgical Techniques , ed. 2 , ed. by
Greenhalgh RM
. London : WB Saunders ,1989 . pp 83 -88 .
6.
6.
Effeney DJ
,
Stoney RJ
: Wylie's Atlas of Vascular Surgery: Extracranial Cerebrovascular Disease . Philadelphia : JB Lippincott ,1992 . pp 52 -57 .
7.
7.
Furui T
,
Hasuo M
: Indwelling double-balloon shunt for carotid endarterectomy: Technical note . J Neurosurg
60 :861 -863 ,1984 .
8.
8.
Furui T
: A clamp for carotid artery surgery with internal bypass shunt . Vascular Surgery
22 :38 -40 ,1988 .
9.
9.
Lord RSA
: Surgery of Occlusive Cerebrovascular Disease . St. Louis : CV Mosby ,1986 . pp 227 -280 .
10.
10.
Lumley JSP
: A Colour Atlas of Vascular Surgery . Ipswich, England : Wolfe Medical Publications Ltd ,1986 . pp 74 -93 .
11.
11.
Ratcheson RA
,
Grubb RL
: Surgical therapy of diseases of the extracranial carotid artery . In: Operative Neurosurgical Techniques , ed. 2 , ed. by
Schmideck HH
,
Sweet WH
. London : Grune & Stratton Inc ,1988 . pp 753 -763 .