Preoperative Digital Carotid Compression as a Predictor of the Need for Shunting During Carotid Endarterectomy

Vijay Naraynsingh, Patrick Harnarayan, Ravi Maharaj, Dilip Dan , Seetharaman Hariharan*
Department Clinical Surgical Sciences, The University of the West Indies, St. Augustine, Trinidad West Indies

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© Naraynsingh et al.; Licensee Bentham Open.

open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.

* Address correspondence to this author at the Department of Clinical Surgical Sciences, Faculty of Medical Sciences, The University of the West Indies; TRINIDAD West Indies; Tel/Fax: 1 868 662 4030; E-mail:


This study prospectively attempted to assess the need for shunting by preoperative digital compression of the proximal common carotid artery and correlated these findings with intraoperative assessment while performing carotid endarterectomy under local anaesthesia. Preoperative digital compression is highly predictive of the need for shunting intra-operatively and can be used as a valuable test in carefully chosen patients. This may help in decreasing the need for advanced neurological monitoring during carotid endarterectomy.

Keywords: : Carotid endarterectomy, Carotid shunting, Carotid monitoring..