Routine use of Brener shunt during carotid endarterectomy.

Author: Biao YUAN ¹ ; Wolfgang SCHARECK
Author Information

1. Department of Vascular Surgery, Surgical Hospital, Rostock University, Rostock 100888, Germany.
Publication Type:Journal Article
MeSH: Aged; Endarterectomy, Carotid; methods; Female; Humans; Male; Middle Aged; Prospective Studies
From: Chinese Journal of Surgery 2003;41(10):741-743
CountryChina
Language:Chinese
Abstract:
OBJECTIVETo evaluate the routine use of Brener shunt during carotid endarterectomy (CEA).
METHODSA prospective audit of the results of 58 consecutive CEA was performed, with routine use of Brener shunt in surgical hospital, Rostock university in Germany. Intraoperative and postoperative complications of CEA were reviewed.
RESULTSIn this study, the successful rate of insertion of shunt was 100%. The perioperative stroke/death rate at 30 days was 0, but the TIA rate was 2 cases (3.5%), which was related with previous stroke and contralateral internal carotid occlusion. 2 cases (3.5%) had minor operative complications.
CONCLUSIONSThe routine use of Brener shunt has a less rate of intraoperative and early postoperative neurologic complications during CEA. But experience in a large number of shunting procedure is needed.