Cerebral Protection During Carotid Endarterectomy | Zendy

J. Howe | Zendy; Glenn W. Kindt | Zendy

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Cerebral Protection During Carotid Endarterectomy

Author(s) -

J. Howe,

Glenn W. Kindt

Publication year - 1974

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.5.3.340

Subject(s) - medicine , carotid endarterectomy , anesthesia , cerebral blood flow , shunt (medical) , regimen , blood pressure , oxygen tension , cardiology , carotid arteries , oxygen , chemistry , organic chemistry

Carotid endarterectomy was performed on 73 occasions using the following regimen during the operative period: (1) general anesthesia with normothermia, (2) maintaining a normal or slightly elevated arterial oxygen tension (Pao2, (3) maintaining a normal or low arterial carbon dioxide tension (Pco2), (4) maintaining systemic arterial pressure (SAP) at normal or slightly elevated levels, (5) employing a bypass shunt in all cases, and (6) utilizing transient systemic anticoagulation with heparin. The rationale for this regimen is explained in terms of current concepts of cerebral blood flow and metabolism. No new neurological deficit has appeared after operation using these techniques.

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