Cerebral monitoring during carotid endarterectomy by transcranial Doppler ultrasonography

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Cerebral monitoring during carotid endarterectomy by transcranial Doppler ultrasonography

PURPOSE To evaluate the efficacy and safety of cerebral monitoring by transcranial Doppler ultrasonography (TCD) for the detection of cerebral ischemia during carotid endarterectomy (CEA). METHODS From August 2004 to December 2013, 159 CEAs were performed in a tertiary hospital. All procedures were performed under general anesthesia. Intraoperative TCD was routinely used to detect cerebral is...

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Detection of middle cerebral artery emboli during carotid endarterectomy using transcranial Doppler ultrasonography.

The purpose of our study was to define the signal characteristics and clinical circumstances associated with emboli detected in the middle cerebral artery using 2-MHz pulsed transcranial Doppler ultrasound in patients undergoing carotid endarterectomy. Signals designating emboli were transients displaying harmonic qualities the signatures of which were clearly different from those of mechanical...

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Transcranial Doppler: preventing stroke during carotid endarterectomy.

Carotid endarterectomy (CEA) is more effective at preventing strokes than medical therapy alone in those patients with severe symptomatic stenosis of the internal carotid artery and this benefit persists despite a perioperative stroke/death rate of approximately 5%. Thromboembolism has been established as the underlying cause of the majority of perioperative strokes, but this could not be detec...

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Transcranial Doppler detected cerebral microembolism following carotid endarterectomy.

Cerebral ischaemia, the most frequent serious complication of carotid endarterectomy (CEA), usually occurs in the early postoperative period and is often the result of thromboembolism. We hypothesized that the early postoperative detection of microembolic ultrasonic signals (MES) with transcranial Doppler ultrasound (TCD) may be of value in identifying patients at risk of postoperative cerebral...

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Cerebral monitoring during carotid endarterectomy--a comparison between electroencephalography, transcranial cerebral oximetry and carotid stump pressure.

OBJECTIVE Various modalities are used for cerebral monitoring during carotid endarterectomy (CEA). The aim of this study was to evaluate whether transcranial cerebral oximetry (TCO) and carotid stump pressure (SP) are as accurate as electroencephalography (EEG) for monitoring cerebral ischaemia during carotid cross-clamping. METHODS One hundred consecutive patients who underwent CEA were stud...

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ژورنال

عنوان ژورنال: Annals of Surgical Treatment and Research

سال: 2017

ISSN: 2288-6575,2288-6796

DOI: 10.4174/astr.2017.92.2.105