Transcranial Doppler and Stump Pressure During Carotid Endarterectomy

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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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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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Dual Monitoring with Stump Pressure and Electroencephalography During Carotid Endarterectomy

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 temporar...

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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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Transcranial Doppler and rCBF compared in carotid endarterectomy.

In eight patients undergoing carotid endarterectomy, the mean velocity and an index of pulse amplitude in the middle cerebral artery were monitored continuously by transcranial doppler ultrasound. rCBF was measured by intracarotid injection of 133 Xenon shortly before and at the time of the carotid artery occlusion, and again a few minutes after carotid flow was reestablished. Comparison of the...

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ژورنال

عنوان ژورنال: Stroke

سال: 1998

ISSN: 0039-2499,1524-4628

DOI: 10.1161/01.str.29.5.1068