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Akl BF, Blakeley WR, Lewis CE, et al. Carotid endarterectomy: Is a shunt necessary?. Am J Surg. 1975;130(6):761-5doi: 10.1016/0002-9610(75)90437-7.
Akl, B. F., Blakeley, W. R., Lewis, C. E., & Edwards, W. S. (1975). Carotid endarterectomy: Is a shunt necessary?. American journal of surgery, 130(6), 761-5. https://doi.org/10.1016/0002-9610(75)90437-7
Akl, B F, et al. "Carotid endarterectomy: Is a shunt necessary?." American journal of surgery vol. 130,6 (1975): 761-5. doi: https://doi.org/10.1016/0002-9610(75)90437-7
Akl BF, Blakeley WR, Lewis CE, Edwards WS. Carotid endarterectomy: Is a shunt necessary?. Am J Surg. 1975 Dec;130(6):761-5. doi: 10.1016/0002-9610(75)90437-7. PMID: 1200296.
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Am J Surg. 1975 Dec;130(6):761-5. doi: 10.1016/0002-9610(75)90437-7.

Carotid endarterectomy: Is a shunt necessary?.

American journal of surgery

B F Akl, W R Blakeley, C E Lewis, W S Edwards

PMID: 1200296 DOI: 10.1016/0002-9610(75)90437-7

Abstract

Seventy-seven carotid endarterectomies performed on fifty-nine patients, using induced systemic hypertension during carotid artery clamping, were reviewed. The risk of cerebral ischemia is reduced to a minimum by this technic. The measurement of the internal carotid artery stump pressure is an excellent guideline for the need of additional brain protection. An internal shunt is rarely necessary. Thromboembolic phenomena contributed to the major neurologic complications encountered (two deaths and one stroke). Extreme gentleness and careful surgical technic cannot be overemphasized.

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