ABSTRACT
The Loftus type shunt (Integra Neuroscience, Plainsboro, NJ) is a straight silastic tube chamfered at the ICA end for easy placement, and with a built-up bulb at the CCA end to anchor it in the Rummel tourniquet. There is a black line at the center of the shunt to indicate migration during the case. In these two photos we illustrate the shunt in place with the black line properly placed at the center of the arteriotomy. We also show the shunt being secured by the Loftus type pinch clamps (Fig. 3-35) in the ICA: in (B), at the right edge of the frame, the shunt can be seen to be secured in the CCA by the 0 silk tie within the Rummel tourniquet.
