0
ARTICLE |

Carotid Endarterectomy Without a Shunt:  Experiences Using Hyperbaric General Anesthesia

Jess R. Young, MD; Alfred W. Humphries, MD; Edwin G. Beven, MD; Victor G. deWolfe, MD
Arch Surg. 1969;99(3):293-297. doi:10.1001/archsurg.1969.01340150001001.
Text Size: A A A
Published online

What constitutes the "correct" treatment for atherosclerotic occlusive disease affecting the carotid, vertebral, subclavian, and innominate arteries remains a controversial question. Various methods of therapy have been proposed, including vasodilators,1 anticoagulants,2,3 and surgical correction.4-8 Even the advocates of surgery are in disagreement as to whether a patient with an acute stroke should or should not be operated on,9,10 and whether a completely occluded internal carotid artery should or should not be explored.11,12 Finally, there is disagreement as to the appropriate anesthetic technique4,5 and the need for an intravascular shunt.4,13

In 1964, we reported14 our experience with our first 100 patients having extracranial arterial disease treated surgically. Because of poor results with patients who had suffered completed strokes, and with patients having completely occluded internal carotid arteries, we concluded that endarterectomy should be considered in two groups of patients with significant carotid stenosis:

Topics

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
/>
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();