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The Annals of Thoracic Surgery, Vol 23, 264-266, Copyright © 1977 by The Society of Thoracic Surgeons

ARTICLES

A new wire-supported shunt for carotid endarterectomy

JM Keshishian and S Crossland

An intraarterial shunt for cerebral protection during carotid endarterectomy is described. It combines the features of the U-shaped shunt of Hallin and the straight shunt of Sundt, and incorporates a side-arm that can be used for perfusion, irrigation, and intraarterial pressure. The shunt is a molded Silastic tube with wire coils at each end to prevent collapse, and its funicular collar and rim obviate sudden expulsion. Its use allows endarterectomy to be performed in a deliberate manner, permitting careful attention to prevention of an intimal flap and unhurried repair of the arteriotomy.




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Copyright © 1977 by The Society of Thoracic Surgeons.