s routine intravascular shunting necessary for carotid endarterectomy in patients with contralateral occlusion? A review of 5-year experience of carotid endarterectomy with local anaesthesia

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dc.authorid0000-0001-5427-550Xen_US
dc.authorid0000-0001-7953-1573en_US
dc.contributor.authorÇınar, B.
dc.contributor.authorGöksel, O. S.
dc.contributor.authorKaratepe, C.
dc.contributor.authorKut, S.
dc.contributor.authorAydoğan, Hakkı
dc.contributor.authorÇetemen, Şebnem
dc.contributor.authorÇoruh, T.
dc.contributor.authorEren, Ergin Emin
dc.date.accessioned2024-07-12T21:03:48Z
dc.date.available2024-07-12T21:03:48Z
dc.date.issued2004en_US
dc.departmentFakülteler, Tıp Fakültesien_US
dc.description.abstractObjectives: Endarterectomy of a stenotic internal carotid artery in the presence of contralateral carotid occlusion (CCO) is often assessed as a high-risk procedure. We have assessed the requirement for shunting in patients with CCO operated under local anaesthetic. Materials and methods: Between 1998 and 2003, 429 patients (319 males and 110 females, mean age 65.7+/-6.2, range 48-84) underwent 500 carotid endarterectomies under local anaesthetic with awake neurological testing. Fifty-five patients (12.8%) had CCO. Preoperative risk factors, intra- and postoperative events were noted and analyzed. Short-term and mid-term follow-up (mean 16.4+/-5.8 months, range 3-38 months) was also recorded. Results: The rate of shunting in patients with or without CCO (10.9% vs. 9.1%) was not significantly different. Stroke rates for CCO and non-CCO groups were 3.6 and 0.5%, respectively. Only the presence of preoperative cerebral infarction increased the risk of stroke. Patients that needed shunting were found to have significantly higher overall rate of adverse events, mortality and stroke. Conclusions: Routine use of intravascular shunting for a stenotic carotid artery with contralateral occlusion may not be necessary. The choice of using a shunt is safe when made intraoperatively by assessing the neurological status of the patient continuously. This requires expertise and strong cooperation between the anaesthesiologist and the surgical teams.en_US
dc.identifier.citationCinar, B., Goksel, O. S., Karatepe, C., Kut, S., Aydogan, H., Filizcan, U., Cetemen, S., Coruh, T., & Eren, E. (2004). Is routine intravascular shunting necessary for carotid endarterectomy in patients with contralateral occlusion? A review of 5-year experience of carotid endarterectomy with local anaesthesia. European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery, 28(5), 494–499.en_US
dc.identifier.endpage499en_US
dc.identifier.issn1078-5884
dc.identifier.issue5en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage494en_US
dc.identifier.urihttps://www.sciencedirect.com/science/article/pii/S1078588404003260?via%3Dihub
dc.identifier.urihttps://hdl.handle.net/20.500.12415/3700
dc.identifier.volume28en_US
dc.institutionauthorFilizcan, Uğur
dc.language.isoenen_US
dc.publisherElsevieren_US
dc.relation.ispartofEuropean Journal of Vascular and Endovascular Surgeryen_US
dc.relation.isversionof10.1016/j.ejvs.2004.07.010en_US
dc.relation.publicationcategoryUluslararası Hakemli Dergide Makale - Kurum Öğretim Elemanıen_US
dc.rightsCC0 1.0 Universal*
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.rights.urihttp://creativecommons.org/publicdomain/zero/1.0/*
dc.snmzKY00890
dc.subjectCarotid endarterectomyen_US
dc.subjectContralateral carotid occlusionen_US
dc.subjectIntraluminal shuntsen_US
dc.subjectStrokeen_US
dc.titles routine intravascular shunting necessary for carotid endarterectomy in patients with contralateral occlusion? A review of 5-year experience of carotid endarterectomy with local anaesthesiaen_US
dc.typeArticle
dspace.entity.typePublication

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