Carotid Endarterectomy without Internal Shunt in 83 Cases

  • Shunro Endo
  • Akira Takaku
Conference paper


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.


Internal Carotid Artery Collateral Circulation Carotid Endarterectomy Severe Stenosis Internal Carotid Artery Stenosis 


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Copyright information

© Springer Japan 1988

Authors and Affiliations

  • Shunro Endo
    • 1
  • Akira Takaku
    • 1
  1. 1.Department of NeurosurgeryToyama Medical and Pharmaceutical UniversityToyamaJapan

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