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 patient...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Korean Society for Thoracic and Cardiovascular Surgery
2017-04-01
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| Series: | Korean Journal of Thoracic and Cardiovascular Surgery |
| Subjects: | |
| Online Access: | http://www.kjtcvs.org/journal/download_pdf.php?doi=10.5090/kjtcs.2017.50.2.94 |
| Summary: | 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. |
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| ISSN: | 2233-601X 2093-6516 |