Brener转流管在颈动脉内膜剥脱术中的应用

Routine use of Brener shunt during carotid endarterectomy

目的 探讨颈动脉内膜剥脱术中常规应用Brener转流管以保持颈动脉对脑持续供血的作用。 方法 58例患者应用Brener转流管完成颈动脉内膜剥脱术 ,并对围手术期并发症予以总结。 结果 58例患者置放转流管成功率为 10 0 %。围手术期患者病死率及脑卒中发生率为 0 ,但术后发生一过性脑缺血的患者有 2例 (3 5% ) ,与手术操作有关的并发症为 2例 (3 5% ) ,均为切口皮下血肿。 结论 术中常规应用Brener转流管是颈动脉内膜剥脱术成功的关键步骤之一 。

Objective To evaluate the routine use of Brener shunt during carotid endarterectomy (CEA). Methods A prospective audit of the results of 58 consecutive CEA was performed, with routine use of Brener shunt in surgical hospital,Rostock university in Germany. Intraoperative and postoperative complications of CEA were reviewed. Results In this study, the successful rate of insertion of shunt was 100%.The perioperative stroke/death rate at 30 days was 0, but the TIA rate was 2 cases(3 5%),which was related with previous stroke and contralateral internal carotid occlusion. 2 cases (3 5%) had minor operative complications. Conclusions The routine use of Brener shunt has a less rate of intraoperative and early postoperative neurologic complications during CEA. But experience in a large number of shunting procedure is needed.