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*
Identifiers and Pagination:Year: 2013
First Page: 110
Last Page: 112
Publisher ID: TOCMJ-7-110
Article History:Received Date: 2/8/2013
Revision Received Date: 2/9/2013
Acceptance Date: 5/9/2013
Electronic publication date: 15/11/2013
Collection year: 2013
open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.
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.