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Ann Thorac Surg 1977;23:264-266
© 1977 The Society of Thoracic Surgeons

Articles

A New Wire-Supported Shunt for Carotid Endarterectomy

John M. Keshishian, M.D.*, Stanley Crossland, M.D.

Department of Surgery, the George Washington University Medical Center, Washington, DC.

Accepted for publication June 18, 1976.

* Address reprint requests to Dr. Keshishian, 2520 L St, NW (at Pennsylvania Ave), Washington, DC 20037.

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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