ABSTRACT
Loftus Shunt Clamps This illustration shows three models of a spring loaded internal carotid shunt clamp of the author’s design, manufactured by Scanlan Instruments of St. Paul, MN. I previously used a Javid type clamp to secure the ICA around an indwelling shunt, but I was unhappy with the long handle protruding into the carotid bed. These simple clamps pinch down gently and encircle the ICA, preventing backbleeding from the distal vessel. They closing force is gentle to prevent intimal damage, and they come in various angles (as illustrated here) to allow them to be custom sized and to remain unobtrusive in the wound.
