Cerebral oxigen saturation and middle cerebral artery flow velocity changes during carotid endarterectomy

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Blood velocity in the middle cerebral artery and regional cerebral blood flow during carotid endarterectomy.

Blood flow velocity in the middle cerebral artery, determined by transcranial Doppler ultrasonography, was monitored during 31 carotid endarterectomies. Electroencephalogram (EEG) was also monitored, and regional cerebral blood flow (rCBF) was measured. The relation between rCBF and mean velocity was dependent on the rCBF level; the correlation was strong if rCBF was less than 20 ml/100 g/min b...

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Relation between middle cerebral artery blood flow velocity and stump pressure during carotid endarterectomy.

BACKGROUND AND PURPOSE Many patient monitoring techniques have been used for detecting cerebral hypoperfusion during carotid endarterectomy. We compared middle cerebral artery blood flow velocities with carotid artery stump pressures to evaluate the indications for common carotid artery cross-clamp shunting and the probable hemodynamic causes of cerebrovascular complications. METHODS Blood fl...

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Reduced middle cerebral artery velocity during cross-clamp predicts cognitive dysfunction after carotid endarterectomy.

Transcranial Doppler (TCD) is a useful monitor that can be utilized during carotid endarterectomy (CEA). Cognitive dysfunction is a subtler and more common form of neurologic injury than stroke. We aimed to determine whether reduced middle cerebral artery (MCA) mean velocity (MV) predicts cognitive dysfunction and if so, whether a threshold of increased risk of cognitive dysfunction can be iden...

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Cerebral blood flow during carotid endarterectomy.

Cerebral blood flow (CBF) was measured during 28 carotid endarterectomies in 25 patients, by injection of 133Xe into the exposed internal carotid artery (ICA). Twenty-three patients had episodic cerebral or retinal ischemia and five had neurologic deficits before operation. Initial CBF values were variable. Increases of PaC02 caused CBF to increase in four of six patients, to increase slightly ...

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Cerebral protection during carotid endarterectomy.

Cerebral Protection During Carotid Endarterectomy • Carotid endarterectomy was performed on 73 occasions using the following regimen during the operative period: (1) general anesthesia with normothermia, (2) maintaining a normal or slightly elevated arterial oxygen tension (Pao,, (3) maintaining a normal or low arterial carbon dioxide tension (Pco,), (4) maintaining systemic arterial pressure (...

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ژورنال

عنوان ژورنال: Journal of Cardiothoracic and Vascular Anesthesia

سال: 2016

ISSN: 1053-0770

DOI: 10.1053/j.jvca.2016.03.061