AW: [HSF] a carotid and coronary case

[erdinç naseri]

Prasanna,
completely agree with you .In a situation where cerebral circulation depends only on the side that would be clamped and endarterectomized any deviation ( surgicaly,hemodynamicaly) from the planned scenario will lead to catastrophic results.Do these deviations occur in carotid surgery?yes they do
erdinc> Date: Sat, 4 Aug 2007 11:53:45 +0530> From: prasannasimha at gmail.com> To: OpenHeart-L at lists.hsforum.com> Subject: Re: AW: [HSF] a carotid and coronary case> CC: > > I said that cooling would be done if the patient is dependent on the single> vessel for his cerebral perfusion. Occlusion of that may be disastrous . The> routine carotid case need not require anything special and can be done under> local anesthesia.> Prasanna> > On 8/4/07, Hgrmd at aol.com <Hgrmd at aol.com> wrote:> >> > Prasanna,> > Why do you need to cool to 18 degrees? That's overkill that will make> > the> > patient even more coagulopathic. I'd just do the left> > carotid endarterectomy> > first (Brenner shunt), leaving the wound open. Next, do> > the CABG. Finally,> > dry up and close both wounds. No big deal. I've done combined> > CABG/CEA at> > least 30-40 times in my career without a single stroke.> >> > Hal> >> >> >> > ************************************** Get a sneak peek of the all-new AOL> > at> > http://discover.aol.com/memed/aolcom30tour> > _______________________________________________> > OpenHeart-L mailing list> >> > Send postings to:> > OpenHeart-L at lists.hsforum.com> >> > To UNSUBSCRIBE, to CHANGE email address, or to view archives:> > http://mmp.cjp.com/mailman/listinfo/openheart-l> >> > All messages transmitted by the OpenHeart-L are subject to the policies> > and> > disclaimers posted at:> > http://www.hsforum.com/listdisclaim> > -----------------------------------------> >> > > > -- > Prasanna Simha M> _______________________________________________> OpenHeart-L mailing list> > Send postings to:> OpenHeart-L at lists.hsforum.com> > To UNSUBSCRIBE, to CHANGE email address, or to view archives:> http://mmp.cjp.com/mailman/listinfo/openheart-l> > All messages transmitted by the OpenHeart-L are subject to the policies and > disclaimers posted at:> http://www.hsforum.com/listdisclaim> -----------------------------------------