Bandyk D F, Thiele B L
Surgery. 1983 Feb;93(2):260-3.
The major complications associated with shunting include embolization at the time of insertion and shunt thrombosis. Increased technical difficulty of performing the endarterectomy with an inlying shunt hs also contributed to lack of surgeon acceptance. These problems can be minimized by using a short, flexible shunt with a sidearm attachment. The shortness enables the shunt to lie within the vessel, while the flexibility enables manipulation of the shunt to optimize exposure of all segments of the vessel. The sidearm allows flushing of both limbs and helps prevent embolization while providing a means for rapid assessment of shunt patency. The technique provides a safe and simple method of shunting during carotid endarterectomy.
与分流相关的主要并发症包括插入时的栓塞和分流血栓形成。在有内置分流的情况下进行动脉内膜切除术，技术难度增加，这也导致外科医生对此接受度不高。使用带有侧臂附件的短而灵活的分流管可以将这些问题降到最低。分流管短可使其位于血管内，而灵活性则便于操作分流管，以优化血管各段的暴露。侧臂可对分流管的两端进行冲洗，有助于防止栓塞，同时提供一种快速评估分流管通畅性的方法。该技术为颈动脉内膜切除术期间的分流提供了一种安全简便的方法。
