Open AccessTemporary shunt and carotid endarterectomy (review of literature)
Author(s) -
А. Н. Казанцев,
В. Н. Кравчук,
Р. А. Виноградов,
М. А. Чернявский,
Г. Г. Хубулава
Publication year - 2021
Publication title -
vestnik hirurgii im. i.i. grekova/vestnik hirurgii imeni i.i. grekova
Language(s) - English
Resource type - Journals
eISSN - 2686-7370
pISSN - 0042-4625
DOI - 10.24884/0042-4625-2021-180-3-81-86
Subject(s) - carotid endarterectomy , shunt (medical) , medicine , internal carotid artery , endarterectomy , carotid arteries , cardiology , radiology
The main idea of this article is based on the uncertainty of the current recommendations, according to which a temporary shunt (TS) during carotid endarterectomy (CEE) can be used selectively, routinely, and even completely abandon its use. This statement is supported by the low level of evidence (class B) of the conclusion that indications for the use of TS are established only on the basis of a decrease in retrograde pressure in the internal carotid artery (ICA) and/or indicators of cerebral oximetry. Thus, the low efficiency of these procedures makes it possible not to use them at all.