A new shunt technique during carotid endarterectomy

Karotis endarterektomi sirasinda klasik shunt tekniklerinin kullanimi bazen cerrahi uygulamayi engelleyebilmektedir. Bu amacla bir kan seti ile uc-yollu musluk kullanilmadan femoral arterden getirilen arteriyel kan akiminin direkt internal karotis arter icerisine yerlestirilmesi ile yeni ve basit bir shunt islemi kolayca gerceklestirilmektedir. Kan seti ile yerlestirilen bu shunt icersinden ameliyat sirasinda dakikada 250-300 ml’lik kan akimi saglandigindan yeterli beyin korumasi saglanabilmektedir ve norolojik kusurlar engellenmektedir. Anah tar soz cuk ler: Atan kalpte bypass; koroner perfuzyon. The use of classical shunt techniques during carotid endarterectomy may sometimes impede carotid artery surgery. For this purpose, a new and simple shunt procedure can easily be performed by placing the arterial blood flow from the femoral artery catheter into the internal carotid artery with a blood set without using any three-way stopcock. Since a flow of 250-300 ml/min is provided during the surgery through this shunt placed with the blood set, adequate brain protection can be obtained, and neurological deficits are avoided.