FIELD: medicine; cardiovascular surgery.
SUBSTANCE: invention can be used to protect the brain from ischemia when carotid arteries are clamped during carotid endarterectomy. A method of installing a temporary intraluminal shunt with inflatable balloons and a T-shaped port during clamping of the carotid arteries during carotid endarterectomy, during which the CCA, ECA, ICA are clamped, arteriotomy, ASP removal, arterial lavage, the proximal end of the IVS is installed in the CCA, antegrade blood flow from the CCA to the proximal end of the VVS and further through the VVS system releases air from the distal end of the shunt and the connection point of an empty syringe to remove blood from the VVS system. After that, the clamp with the ICA is removed, the distal end of the ICA is installed in it, and the ICA is preliminarily calibrated, the ASB is removed after the ICA is installed in the ICA and the CCA, after the proximal end of the ICA is installed in the CCA, a tourniquet is pulled around the CCA and pushed into the noose, and the installation VVSh is performed before endarterectomy.
EFFECT: possibility of protecting the brain from ischemia during CEA with a minimum amount of blood loss without the risk of distal embolism.
1 cl, 2 dwg, 1 tbl
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Authors
Dates
2023-09-12—Published
2022-06-01—Filed