Dual Monitoring with Stump Pressure and Electroencephalography During Carotid Endarterectomy
The Korean Journal of Thoracic and Cardiovascular Surgery
;
: 94-98, 2017.
Article
in English
| WPRIM
| ID: wpr-169849
ABSTRACT
BACKGROUND:
Intraoperative monitoring during carotid endarterectomy is crucial for cerebral protection. We investigated the results of carotid endarterectomy under dual monitoring with stump pressure and electroencephalography.METHODS:
We retrospectively reviewed the medical records of 50 patients who underwent carotid endarterectomy between March 2010 and February 2016. We inserted a temporary shunt if the stump pressure was lower than 35 mm Hg or if any intraoperative change was observed on electroencephalography.RESULTS:
Seventeen (34%) patients used a temporary shunt, and the mean stump pressure was 26.8 mm Hg in the shunt group and 46.5 mm Hg in the non-shunt group. No postoperative mortality or bleeding occurred. Postoperatively, there were 3 cases (6%) of minor stroke, all of which took place in the shunt group. A comparison of the preoperative and the intraoperative characteristics of the shunt group with those of the non-shunt group revealed no statistically significant difference between the 2 groups (p <0.01).CONCLUSION:
Dual monitoring with stump pressure and electroencephalography was found to be a safe and reliable monitoring method with results comparable to those obtained using single monitoring. Further study should be performed to investigate the precise role of each monitoring method.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Carotid Artery Diseases
/
Medical Records
/
Retrospective Studies
/
Mortality
/
Monitoring, Intraoperative
/
Endarterectomy, Carotid
/
Stroke
/
Electroencephalography
/
Intraoperative Neurophysiological Monitoring
/
Hemorrhage
Type of study:
Observational study
/
Prognostic study
Limits:
Humans
Language:
English
Journal:
The Korean Journal of Thoracic and Cardiovascular Surgery
Year:
2017
Type:
Article
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