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Distal Carotid Perfusion in Combined Carotid Endarterectomy and OP-CABG

Department of Cardiac Surgery
¹ Department of Cardiac Anesthesia, Narayana Hrudayalaya Institute of Medical Sciences, Bangalore, India

For reprint information contact: Muralidhar Kanchi, MD Tel: 91 80 2783 5000 Fax: 91 80 2783 5222 Email: kanchi_rules_300a{at}lycos.com, Narayana Hrudayalaya Institute of Medical Sciences, #258/a Bommasandra Industrial Area, Anekal Taluk, Bangalore 560 099, India.

An alternative method of maintaining carotid perfusion during combined carotid endarterectomy and off-pump coronary artery bypass grafting involves insertion of a cannula in the ascending aorta after a median sternotomy. This cannula is connected to a perfusion cannula, the distal end of which is inserted into the carotid artery beyond the carotid arteriotomy. This technique of aortico-carotid shunting and carotid perfusion was utilized in nine patients who underwent successful combined carotid endarterectomy and off-pump coronary artery bypass grafting.