Outcome of carotid endarterectomy with contralateral occlusion: role of selective shunting [original aricle]

ABSTRACT

A retrospective patient control group study was conducted to determine the perioperative risks and benefits of selective shunting for a specific group of patients who had undergone CEA contralateral to an occluded internal carotid artery. Ten patients who underwent CEA contralateral to the occluded internal carotid artery were compared to 26 control group patients who underwent CLI contralateral to a patent Internal carotid artery Selective shunting was used in two cases [20%] of the contralateral occlusion group and In 11 cases [42.3%] of the control group. P = 0.21. The overall perioperative death and stroke rate was 10% in the occluded group and I 1.5% in the control patient group. Carotid endarterectomy [CEA] is a highly beneficial procedure for stroke prevention In selected patients. This study investigates whether patients undergoing CEA with contralaleral occlusion experience a greater degree of perioperative complications than patients with patent contralateral carotid arterial systems