Can ankle-brachial index be used as a predictor for carotid artery shunt application during carotid endarterectomy?

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dc.authoridAyşenur Önalan / 0000-0002-9939-2678en_US
dc.authorscopusidAyşenur Önalan / 57209731945
dc.authorwosidAyşenur Önalan / AAX-9186-2020en_US
dc.contributor.authorOnalan, Mehmet Akif
dc.contributor.authorOztas, Didem Melis
dc.contributor.authorMetin Onur Beyaz
dc.contributor.authorBakshaliyev, Shiraslan
dc.contributor.authorZerrin Sungur
dc.contributor.authorSayin, Omer Ali
dc.contributor.authorUgurlucan, Murat
dc.contributor.authorÖnalan, Ayşenur
dc.date.accessioned2022-06-07T07:32:32Z
dc.date.available2022-06-07T07:32:32Z
dc.date.issued2021en_US
dc.departmentİstinye Üniversitesi, Hastaneen_US
dc.description.abstractObjectives: This study aims to investigate the possible relationship between low ankle-brachial index (ABI) and shunt requirement during carotid endarterectomy (CEA) operations. Patients and methods: Medical records of a total of 56 patients (40 males, 16 females; mean age: 65.6±8.4 years; range, 48 to 82 years) who underwent CEA between January 2013 and December 2016 were retrospectively reviewed. The ABI was measured in all patients at the time of hospital admission. Peripheral arterial disease was defined as having an ABI of ?0.90 in either leg. Selective carotid artery shunt strategy was applied to all patients who underwent CEA under regional anesthesia. 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.en_US
dc.identifier.citationÖNALAN M. A,ÖZTAŞ D. M,ÖNALAN A,BEYAZ M. O,BAKSHALİYEV S,SUNGUR Z,SAYIN Ö. A,UĞURLUCAN M (2021). Can ankle-brachial index be used as a predictor for carotid artery shunt application during carotid endarterectomy?. Turkish journal of vascular surgery, 30(2), 102 - 106. Doi: 10.9739/tjvs.2021.924en_US
dc.identifier.doi10.9739/tjvs.2021.924en_US
dc.identifier.endpage106en_US
dc.identifier.issue2en_US
dc.identifier.startpage102en_US
dc.identifier.trdizinid504269en_US
dc.identifier.urihttp://doi.org/ 10.9739/tjvs.2021.924
dc.identifier.urihttps://hdl.handle.net/20.500.12713/2808
dc.identifier.volume30en_US
dc.indekslendigikaynakTR-Dizinen_US
dc.institutionauthorÖnalan, Ayşenur
dc.language.isoenen_US
dc.publisherTR- Dizinen_US
dc.relation.ispartofTurkish Journal of Vascular Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectAnkle-brachial Indexen_US
dc.subjectCarotid Artery Shuntingen_US
dc.subjectCarotid Endarterectomyen_US
dc.titleCan ankle-brachial index be used as a predictor for carotid artery shunt application during carotid endarterectomy?en_US
dc.typeArticleen_US

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