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Issue: Vol. 51 No. 9 (2026): JOURNAL OF MILITARY PHARMACO-MEDICINE No.9 - 2026
Section: Articles
DOI: 10.56535/jmpm.v51i9.2022
Date Published: 28/09/2026
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How to Cite
Vu, D. T., Nguyen, T. K., Tran, D. T., & Le, B. H. (2026). INITIAL OUTCOMES OF INTERNAL CAROTID ENDARTERECTOMY USING A TEMPORARY SHUNT UNDER SUPERFICIAL CERVICAL PLEXUS BLOCK. Journal of Military Pharmaco-medicine, 51(9), 270-276. https://doi.org/10.56535/jmpm.v51i9.2022

INITIAL OUTCOMES OF INTERNAL CAROTID ENDARTERECTOMY USING A TEMPORARY SHUNT UNDER SUPERFICIAL CERVICAL PLEXUS BLOCK

Duc Thang Vu1, The Kien Nguyen1, Dac Tiep Tran1, Ba Hanh Le1,
1 Military Hospital 103

Main Article Content

Abstract

Objectives: To evaluate the outcomes of internal carotid endarterectomy using a temporary shunt under superficial cervical plexus block. Methods: A descriptive case series, retrospective, non-controlled study was conducted on 14 patients with carotid artery stenosis who underwent endarterectomy at Military Hospital 103 from 2023 to 2025. Results: The mean age was 68.1 years; males accounted for 85.7%. Symptomatic carotid artery stenosis was present in 64.3%. All patients had concomitant hypertension. The unilateral cerebral ischemia time due to carotid artery clamping and the cerebral perfusion time via carotid artery shunt were 1.3 ± 1.2 minutes and 24.8 ± 4.5 minutes, respectively. 3 cases experienced loss of consciousness due to carotid artery clamping for temporary shunt placement; 1 case required conversion to endotracheal intubation anesthesia due to stimulation. There were no cases of bleeding, stroke, or death during the follow-up period. No restenosis of the carotid artery occurred within the 12-month follow-up period. Conclusion: Internal carotid artery endarterectomy is a safe surgical procedure that yields favorable outcomes for patients with a low rate of adverse events and complications.

Keywords

Internal carotid artery stenosis, Carotid endarterectomy, Temporary carotid shunt

Article Details

References

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