Cochrane · systematic review · CD000190
Routine or selective carotid artery shunting for carotid endarterectomy (and different methods of monitoring in selective shunting)
Chuatrakoon, B, Nantakool, S, Rerkasem, A, et al. · Cochrane Database of Systematic Reviews · 2022 · Cochrane Library
StrokeAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 7 · 100%Moderate 0 · 0%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Shunting compared with no shunting for carotid endarterectomy
Population: patients with symptomatic or asymptomatic carotid disease
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Death from all causes within 30 days of surgery Shunting vs no shunting | OR 0.45 [0.13, 1.59] | 3 studies · 655 participants | Low Downgraded: risk of bias |
Stroke‐related death within 30 days of surgery (best‐case) Shunting vs no shunting | OR 0.13 [0.02, 0.96] | 3 studies · 655 participants | Low Downgraded: risk of bias |
Stroke‐related death within 30 days of surgery (worst‐case) Shunting vs no shunting | OR 0.37 [0.05, 2.62] | 3 studies · 655 participants | Low Downgraded: risk of bias |
Any stroke during surgery (best‐case) Shunting vs no shunting | OR 0.42 [0.16, 1.07] | 3 studies · 655 participants | Low Downgraded: risk of bias |
Any stroke during surgery (worst‐case) Shunting vs no shunting | OR 1.32 [0.52, 3.38] | 3 studies · 655 participants | Low Downgraded: risk of bias |
Any stroke within 24 hours of surgery Shunting vs no shunting | OR 0.15 [0.03, 0.78] | 2 studies · 214 participants | Low Downgraded: risk of bias |
Any stroke within 30 days of surgery Shunting vs no shunting | OR 0.77 [0.35, 1.69] | 3 studies · 655 participants | Low Downgraded: risk of bias |