Gundlach W J, Swenson W M
Surg Gynecol Obstet. 1979 May;148(5):720-2.
One hundred consecutive patients underwent carotid endarterectomy in a small community hospital in North Dakota during a period between 1969 through 1976. All operative procedures were performed by the same surgeon using the Javid shunt. A 1 per cent operative mortality and permanent morbidity resulted. These findings are comparable with those reported from large medical centers having extensive experience in carotid endarterectomy. It is concluded that patients with carotid artery disease can be safely and effectively treated in small medical centers by well trained experienced vascular surgeons.
1969年至1976年期间，北达科他州一家小型社区医院对连续100例患者进行了颈动脉内膜切除术。所有手术均由同一位外科医生使用贾维德分流器进行。手术死亡率和永久性发病率为1%。这些结果与大型医疗中心报道的结果相当，这些大型医疗中心在颈动脉内膜切除术方面有丰富经验。得出的结论是，经过良好培训且经验丰富的血管外科医生可以在小型医疗中心安全有效地治疗颈动脉疾病患者。
