Is it Necessary to Use an Intraluminal Shunt in Symptomatic Patients with Contralateral Carotid Artery Stenosis ?

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dc.authoridSunar, Hasan/0000-0002-1276-8549
dc.authoridYuksel, Volkan/0000-0001-9518-2588
dc.authorwosidSunar, Hasan/A-8685-2018
dc.contributor.authorYuksel, V.
dc.contributor.authorCanbaz, S.
dc.contributor.authorEge, T.
dc.contributor.authorSunar, H.
dc.date.accessioned2024-06-12T11:19:46Z
dc.date.available2024-06-12T11:19:46Z
dc.date.issued2014
dc.departmentTrakya Üniversitesien_US
dc.description.abstractBackground : We aimed to investigate our results of carotid endarterectomy operations in symptomatic patients operated by using an intraluminal shunt and without use of an intraluminal shunt in patients with contralateral carotid artery stenosis. Methods : We reviewed the results of 144 carotid endarterectomy operations in patients with contralateral carotid artery stenosis from January 2007 to December 2012. These patients were allocated in 2 groups. Group 1 (n = 70) consisted of the patients operated by using an intraluminal shunt and Group 2 (n = 74) consisted of the patients operated without use of an intraluminal shunt. Postoperative neurologic complications were recorded. Results : Temporary neurologic impairment developed in 3 (4.3%) patients postoperatively in group 1 and in 2 (2.7%) patients postoperatively in group 2. This difference was not statistically significant between groups (p = 0.675). None of the patients returned to operation theatre due to excessive bleeding postoperatively. The stroke/death rate was 0.7% in the study group. Conclusions : We conclude that carotid endarterectomy in symptomatic patients with contralateral occlusion can be performed safely without the systematic use of a shunt. However, it is not possible to define exact indications for use of a shunt as we have no information on the reason why some surgeons used a shunt.en_US
dc.identifier.doi10.1080/00015458.2014.11681005
dc.identifier.endpage182en_US
dc.identifier.issn0001-5458
dc.identifier.issue3en_US
dc.identifier.pmid25102707en_US
dc.identifier.scopus2-s2.0-84906931292en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage179en_US
dc.identifier.urihttps://doi.org/10.1080/00015458.2014.11681005
dc.identifier.urihttps://hdl.handle.net/20.500.14551/25335
dc.identifier.volume114en_US
dc.identifier.wosWOS:000339415200005en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherActa Medical Belgicaen_US
dc.relation.ispartofActa Chirurgica Belgicaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectRandomized Controlled-Trialen_US
dc.subjectTerm-Follow-Upen_US
dc.subjectPatch Angioplastyen_US
dc.subjectPrimary Closureen_US
dc.subjectSaphenous-Veinen_US
dc.subjectEndarterectomyen_US
dc.subjectPolytetrafluoroethyleneen_US
dc.subjectOutcomesen_US
dc.subjectRisken_US
dc.titleIs it Necessary to Use an Intraluminal Shunt in Symptomatic Patients with Contralateral Carotid Artery Stenosis ?en_US
dc.typeArticleen_US

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