Prevail Medical

Doppler Carotid Shunt

Description:

Why use a Doppler Carotid Shunt?

Here are some reasons:

Peace of Mind –You know the shunt is delivering blood to the brain with the audible signal.
Medical Legal – Everyone in the O.R. becomes a witness to having heard the real time verification of the blood flowing.
Reimbursement – As Medicare slices through the fees owed to Physicians, some surgeons have reported you can get money back by using a certain CPT code. As a stand alone CPT code, 93882 has worked in the past. Check for updated CPT codes.
Anesthesia Monitoring – When deciding to use a shunt to provide the best healthcare for your patient, the patient needs to have a good heart rate with corresponding pressure. If the rate and pressure drop, the Doppler volume will indicate the change.
Scheduling - Occasionally when the EEG Tech is unavailable, and the Surgeon wants to be certain that the Shunt is performing well.

There is a direct relationship of the Doppler signal to the heart rate and blood pressure. When there is a slower heart rate, the blood flow will undoubtedly slow and the Doppler will make these variables known to you audibly.

Clinical Studies:

Clinical Papers about Shunts and Carotid Endarterectomy procedures

Study #1 (Safer shunt insertion...)

Study #2 (Correlation of carotid artery stump pressure...)

Study #3 (Intraoperative measurement of Javid...)

Study #4 (Malfunction of a double-balloon...)

Study #5 (Cerebral Oximetry...)

Study #6 (Poor durability of carotid angioplasty...)

Study #7 (Stenting less safe than surgery...)

Study #8 (Continued higher event rates with stenting vs surgery...)

Study #9 (Clinical and laboratory experience with heprin-impregnated silicone shunts for carotid endarterectomy)

Study #10 (Benefit of Intraop Neuromonitoring May Not Outweigh Costs)