The international surgical journal with global reach

This is the Scientific Surgery Archive, which contains all randomized clinical trials in surgery that have been identified by searching the top 50 English language medical journal issues since January 1998. Compiled by Jonothan J. Earnshaw, former Editor-in-Chief, BJS

Prospective randomised trial of routine versus selective shunting in carotid endarterectomy based on stump pressure.  J Vasc Surg 2010; 51: 1133–1138.

Published: 11th October 2010

Authors: AbuRahma AF, Stone PA, Hass SM, Dean LS, Habib J, Keiffer T et al. et al.

Conclusion

Two hundred procedures were studied: 29/102 patients in the selective group needed a shunt, based on a minimum stump pressure of 40mmHg. There were no deaths. Two patients in the selective shunting group had a postoperative stroke compared to none in the routine shunt group.

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