Carotid Endarterectomy without Internal Shunt in 83 Cases
We have experienced 83 cases of carotid endarterectomy without internal shunt. These operations have been performed over the last 5 years and have been follow-up after more than 1 year. The operative mortality and morbidity rate was 0% in this series. No unconventional operative techniques or anesthesia besides the administration of 20% mannitol before and during carotid artery occlusion were employed. This report presents three subjects: characteristic clinical features of atherosclerotic extracranial carotid lesion in Japanese, the significance of administering 20% mannitol, and the surgical indication for cases with severe stenosis and showing progressing neurological symptoms.
KeywordsInternal Carotid Artery Collateral Circulation Carotid Endarterectomy Severe Stenosis Internal Carotid Artery Stenosis
Unable to display preview. Download preview PDF.