Monitoring of Activated Clotting Time during Carotid Endarterectomy

Author:

Rosenwasser Robert H.1,Garrido Eddy1,Freed Michael H.1,Shupak Robert C.2

Affiliation:

1. Departments of Neurosurgery, Temple University Health Science Center, Philadelphia, Pennsylvania

2. Departments of Neurosurgery and Anesthesiology, Temple University Health Science Center, Philadelphia, Pennsylvania

Abstract

Abstract The activated clotting time was monitored in 10 patients undergoing carotid endarterectomy. This measure accurately tells the surgeon the level of anticoagulation and permits him to calculate the exact amount of protamine needed for heparin reversal. This technique can be done easily and, in our opinion, enhances the safety of carotid endarterectomy.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Clinical Neurology,Surgery

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