Steal phenomenon at unclamping during carotid endarterectomy. | Zendy

Howard H. Kaufman | Zendy; Richard E. Ward | Zendy; Edward L. Reilly | Zendy; Stanley F. Handel | Zendy

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Steal phenomenon at unclamping during carotid endarterectomy.

Author(s) -

Howard H. Kaufman,

Richard E. Ward,

Edward L. Reilly,

Stanley F. Handel

Publication year - 1980

Publication title -

stroke

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 3.397

H-Index - 319

eISSN - 1524-4628

pISSN - 0039-2499

DOI - 10.1161/01.str.11.3.282

Subject(s) - medicine , carotid endarterectomy , anesthesia , carotid arteries , endarterectomy , cardiology

A patient is reported who during vigorous back bleeding after unclamping of the internal carotid artery during endarterectomy had EEG slowing and a postoperative increase in neurological deficit. This phenomenon, an apparent steal, has not been reported and suggests that EEG monitoring is as vital at unclamping as it is after clamping. The patient also raises questions about the risk of early endarterectomy for those who have persistent deficits, even with unobstructed vessels.

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