Preoperative Digital Carotid Compression as a Predictor of the Need for Shunting During Carotid Endarterectomy
نویسندگان
چکیده
This study prospectively attempted to assess the need for shunting by preoperative digital compression of the proximal common carotid artery and correlated these findings with intraoperative assessment while performing carotid endarterectomy under local anaesthesia. Preoperative digital compression is highly predictive of the need for shunting intra-operatively and can be used as a valuable test in carefully chosen patients. This may help in decreasing the need for advanced neurological monitoring during carotid endarterectomy.
منابع مشابه
Acetazolamide stress brain-perfusion SPECT predicts the need for carotid shunting during carotid endarterectomy.
UNLABELLED Although carotid shunting is occasionally necessary to prevent cerebral ischemia during carotid endarterectomy, there is no reliable indication for this procedure. The purpose of this study was to evaluate whether acetazolamide stress brain-perfusion SPECT can predict the need for carotid shunting during carotid endarterectomy. METHODS Basal and acetazolamide stress brain-perfusion...
متن کاملPeroperative neuromonitoring during carotid endarterectomy in relation to preoperative positron emission tomography findings.
OBJECTIVES To compare stump pressure (SP), transcranial Doppler (TCD), electroencephalography (EEG) and selective shunting during carotid endarterectomy (CEA) with preoperative positron emission tomography (PET) parameters. MATERIALS AND METHODS Preoperative PET measurements and peroperative neuromonitoring were performed in ten patients undergoing CEA for symptomatic carotid artery disease. ...
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DR. FERGUSON'S RECENT provocative editorial on the subject of monitoring and shunting during carotid endarterectomy was both puzzling and troubling.' It appears that his "inescapable conclusion that neither intraoperative monitoring nor the use of internal shunts are necessary to avoid intraoperative stroke in the carotid endarterectomy, as a usual cause for such a stroke is an embolus" was bas...
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BACKGROUND Temporary interruption of cerebral blood flow during carotid endarterectomy can be avoided by using a shunt across the clamped section of the carotid artery. This may improve outcome. This is an update of a Cochrane Review originally published in 1996 and previously updated in 2001. OBJECTIVES To assess the effect of routine versus selective, or never, shunting during carotid endar...
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BACKGROUND AND PURPOSE Controversy continues about the pathogenesis of perioperative stroke in carotid endarterectomy and the use of shunting. The purpose of this study was to determine, using transcranial Doppler ultrasonography, the severity of ischemia during clamping of the carotid artery as a basis for analysis of complications in patients operated on with and without shunting. METHODS I...
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