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To Shunt or Not to Shunt?

Gary G. Ferguson, MD, FRCS(C)

Arch Neurol. 1986;43(6):615-617.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Carotid endarterectomy has been practiced as a method of reducing the risk of future stroke since 1956.¹ Its logical appeal is such that it is now the most commonly performed vascular procedure other than aortocoronary bypass and, at more than 80,000 operations per year, the third most commonly performed surgical procedure in the United States.² Recently, editorial concern regarding the status of carotid endarterectomy has been expressed because of evidence that the morbidity and mortality attributable to the procedure may be as high as 10%.^2,3 Much better results are certainly possible and have been reported routinely in the literature for at least one decade.^4-12

The surgeon's obligation is to reduce perioperative risk to an absolute minimum by a combination of judicious patient selection and refined operative technique. If the perioperative risk can be reduced to nearly zero, many of the concerns regarding the procedure would . . . [Full Text PDF of this Article]

Author Affiliations
From the Department of Neurosurgery, Clinical Neurosurgical Sciences, Division of Neurosurgery, The University of Western Ontario, London.

Footnotes
Accepted for publication Oct 5, 1985.

Reprint requests to University Hospital, PO Box 5339, Station "A," London, Ontario, Canada, N6A 5A5 (Dr Ferguson).

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