Clinical Experience with Carotid Stump Pressure and EEG Monitoring to Determine Shunt Placement During Carotid Endarterectomy

The authors'' experience with selective shunting during carotid endarterectomy utilizing electroencephalographic and stump pressure measurements is reported. No postoperative neurological deficits occurred in this group of selectively shunted patients. EEG appeared to offer no significant benefit in the management of the patients. Carotid stump pressures alone were reliable in providing the basis for selective shunting.