Dual Monitoring with Stump Pressure and Electroencephalography During Carotid Endarterectomy
The Korean Journal of Thoracic and Cardiovascular Surgery
;
: 94-98, 2017.
Artículo
en Inglés
| 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.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Enfermedades de las Arterias Carótidas
/
Registros Médicos
/
Estudios Retrospectivos
/
Mortalidad
/
Monitoreo Intraoperatorio
/
Endarterectomía Carotidea
/
Accidente Cerebrovascular
/
Electroencefalografía
/
Monitorización Neurofisiológica Intraoperatoria
/
Hemorragia
Tipo de estudio:
Estudio observacional
/
Estudio pronóstico
Límite:
Humanos
Idioma:
Inglés
Revista:
The Korean Journal of Thoracic and Cardiovascular Surgery
Año:
2017
Tipo del documento:
Artículo
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