Dual Monitoring with Stump Pressure and Electroencephalography During Carotid Endarterectomy
The Korean Journal of Thoracic and Cardiovascular Surgery
; : 94-98, 2017.
Artigo
em Inglês
| WPRIM (Pacífico Ocidental)
| ID: wpr-169849
Biblioteca responsável:
WPRO
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:
Disponível
Contexto em Saúde:
ODS3 - Meta 3.4 Reduzir as mortes prematuras devido doenças não transmissíveis
Problema de saúde:
Doença Cardiovascular
/
Doença Cerebrovascular
Base de dados:
WPRIM (Pacífico Ocidental)
Assunto principal:
Doenças das Artérias Carótidas
/
Prontuários Médicos
/
Estudos Retrospectivos
/
Mortalidade
/
Monitorização Intraoperatória
/
Endarterectomia das Carótidas
/
Acidente Vascular Cerebral
/
Eletroencefalografia
/
Monitorização Neurofisiológica Intraoperatória
/
Hemorragia
Tipo de estudo:
Estudo observacional
/
Estudo prognóstico
Limite:
Humanos
Idioma:
Inglês
Revista:
The Korean Journal of Thoracic and Cardiovascular Surgery
Ano de publicação:
2017
Tipo de documento:
Artigo