Near-Infrared Spectroscopy versus Transcranial Doppler-Based Monitoring in Carotid Endarterectomy
The Korean Journal of Thoracic and Cardiovascular Surgery
;
: 448-452, 2017.
Article
in English
| WPRIM
| ID: wpr-175186
ABSTRACT
BACKGROUND:
Proper monitoring of cerebral perfusion during carotid artery surgery is crucial for determining if a shunt is needed. We compared the safety and reliability of near-infrared spectroscopy (NIRS) with transcranial Doppler (TCD) for cerebral monitoring.METHODS:
This single-center, retrospective review was conducted on patients who underwent carotid endarterectomy (CEA) using selective shunt-based TCD or NIRS at Daegu Catholic University Medical Center from November 2009 to June 2016. Postoperative complications were the primary outcome, and the distribution of risk factors between the 2 groups was compared.RESULTS:
The medical records of 74 patients (45 TCD, 29 NIRS) were reviewed. The demographic characteristics were similar between the 2 groups. One TCD patient died within the 30-day postoperative period. Postoperative stroke (n=4, p=0.15) and neurologic complications (n=10, p=0.005) were only reported in the TCD group. Shunt usage was 44.4% and 10.3% in the TCD and NIRS groups, respectively (p=0.002).CONCLUSION:
NIRS-based selective shunting during CEA seems to be safe and reliable for monitoring cerebral perfusion in terms of postoperative stroke and neurologic symptoms. It also reduces unnecessary shunt usage.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Perfusion
/
Postoperative Complications
/
Postoperative Period
/
Carotid Arteries
/
Medical Records
/
Retrospective Studies
/
Risk Factors
/
Endarterectomy, Carotid
/
Spectroscopy, Near-Infrared
/
Stroke
Type of study:
Etiology study
/
Observational study
/
Risk factors
Limits:
Humans
Language:
English
Journal:
The Korean Journal of Thoracic and Cardiovascular Surgery
Year:
2017
Type:
Article
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