Can ankle-brachial index be used as a predictor for carotid artery shunt application during carotid endarterectomy?
Mehmet Akif Önalan, Didem Melis Öztaş, Ayşenur Önalan, Metin Onur Beyaz, Siraslan Bahseliyev, Zerrin Sungur, Ömer Ali Sayın, Murat Uğurlucan
DOI: 10.9739/tjvs.2021.924 · Page: 102-106 · 153 Views · 4 Downloads · 0 Citations
Abstract
Results: Forty-eight (85.8%) patients were symptomatic. Peripheral arterial disease was diagnosed in 25 (44.6%) patients with ABI measurements. Eleven (19.6%) patients required shunt placement due to neurological deterioration during the carotid clamping test. The mean ABI of 11 (19.6%) patients was 0.8±0.15, while the ABI was less than 0.90 in 10 (17.8%) patients. There was a statistically significant correlation between perioperative shunt usage and peripheral arterial disease (odds ratio [OR]: 19.68, 95% confidence interval [CI]: 2.3-164.4; p=0.001).
Conclusion: Low ABI appears to be related to a higher rate of shunt requirement in patients undergoing CEA under regional anesthesia with a selective shunt strategy in our modest cohort.
Keywords : Ankle-brachial index, carotid artery shunting, carotid endarterectomy
Keywords : Ankle-brachial index; carotid artery shunting; carotid endarterectomy