Stump Pressure Research Articles

Letter: Mycotic aneurysm of the carotid artery.

To the Editor. –I read with interest and chagrin the article Mycotic Aneurysm of the Carotid Artery ( Arch Surg 109:496, 1974) by Ledgerwood and Lucas, which was followed by an editorial comment by one of the Archives' editors. This article reported three cases of mycotic aneurysms in the carotid artery. Treatment included proximal ligation of the innominate, left carotid, and left internal carotid arteries. In the first two patients, a second operation was required to place the distal ligature on the involved vasculature. The thrust of this article seemed to emphasize proximal ligation, followed by an interval of seven to 14 days for antibiotic therapy, and then distal ligation. Vascular reconstruction will almost always be prevented by the absence of an uninvolved tissue plane, due to the extent of soft tissue infection. They avoided any discussion of the possibility of carotid artery stump pressures as a means of determining which

Internal carotid artery stump pressures during regional anesthesia.

Internal carotid artery stump pressures during regional anesthesia.

Lateral T-tube duodenostomy. Duodenal stump management and manometrics.

Duodenal stump pressures were measured in 27 patients after Billroth II gastric resection by lateral T-tube duodenostomy. No manometric differences were found under comparable situations for various types of gastric reconstructions. Equivalent rises in duodenal stump pressures occurred with maneuvers that increased intraperitoneal pressure as well as postcibal pressure. It is suggested that lateral T-tube duodenostomy may serve as an alternative to prolonged nasogastric intubation, obviating several of the complications associated with the latter. Additionally, this procedure enables decompression of the difficult duodenal stump or that where frank leakage has occurred.

Effect of induced hypertension on internal carotid artery stump pressure and rCBF during carotid surgery.

Effect of induced hypertension on internal carotid artery stump pressure and rCBF during carotid surgery.

The effects of CO2 and systemic hypertension on cerebral perfusion pressure during carotid endarectomy.

Anastomotic cerebral perfusion pressures were determined in three patients during carotid endarterectomy under general anesthesia, by measuring pressures distal to the surgically occluded carotid artery (stump pressure) and in the lateral cerebral venous sinus. Hypocarbia increased stump pressure an