Prospective randomized trial of routine versus selective shunting in carotid endarterectomy based on stump pressure.

@article{Aburahma2010ProspectiveRT,
  title={Prospective randomized trial of routine versus selective shunting in carotid endarterectomy based on stump pressure.},
  author={Ali F Aburahma and Patrick Alan Stone and Stephen M Hass and Larry S. Dean and Joseph H Habib and Tammi Keiffer and Mary S Emmett},
  journal={Journal of vascular surgery},
  year={2010},
  volume={51 5},
  pages={1133-8}
}
BACKGROUND The use of shunting in carotid endarterectomy (CEA) is controversial. This randomized trial compared the results of routine (RS) vs selective shunting (SS) based on stump pressure (SP). METHODS Two-hundred CEA patients under general anesthesia were randomized into RS (98 patients) or SS (102 patients), where shunting was used only if systolic SP (SSP) was <40 mm Hg. Clinical and demographic characteristics were comparable in both groups. Patients underwent immediate and 30-day… CONTINUE READING