ArticleInternational journal of surgery case reports2015
Internal carotid artery rupture caused by carotid shunt insertion.
Article in International journal of surgery case reports, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed, 6 citations in OpenAlex.
- Shunt-related internal carotid artery dissection during carotid endarterectomy: illustrative cases.Journal of neurosurgery. Case lessons · 2025Article
- Operative Factors Associated with Severe Hypotension in the Postoperative Setting in Patients with Carotid Artery Endarterectomy.Life (Basel, Switzerland) · 2024Article
- Elongated styloid process as a possible cause of distal carotid artery dissection after carotid endarterectomy using indwelling shunt: A case report.Surgical neurology international · 2022Article
- Emergent carotid artery stenting for cervical internal carotid artery injury during carotid endarterectomy: A case report.Surgical neurology international · 2021Article
- Cost-Effectiveness of Two Decision Strategies for Shunt Use During Carotid Endarterectomy.World journal of surgery · 2017Article
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionShunting is a well-accepted method of maintaining cerebral perfusion during carotid endarterectomy (CEA). Nonetheless, shunt insertion may lead to complications including arterial dissection, embolization, and thrombosis. We present a complication of shunt insertion consisting of arterial wall rupture, not reported previously. PRESENTATION OF CASE: A 78-year-old woman underwent CEA combined with coronary artery bypass grafting (CABG). At the time of shunt insertion an arterial rupture at the distal tip of the shunt was detected and was repaired via a small saphenous vein patch. Eversion CEA and subsequent CABG completed the procedure whose postoperative course was uneventful. DISCUSSION: Shunting during combined CEA-CABG may be advisable to assure cerebral protection from possible hypoperfusion due to potential hemodynamic instability of patients with severe coronary artery disease. Awareness and prompt management of possible shunt-related complications, including the newly reported one, may contribute to limiting their harmful effect.
conclusionArterial wall rupture is a possible, previously not reported, shunt-related complication to be aware of when performing CEA.
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