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- W2897527979 abstract "Cross-clamp ischemia during carotid endarterectomy can be prevented with carotid shunts in vulnerable patients identified by cerebral monitoring. We evaluated transcranial cerebral oximetry for selective shunt use in 654 patients. We retrospectively collected data on 654 consecutive patients operated on under general anesthesia between 2011 and 2017. Shunts were inserted for a drop of 20% or more in cerebral saturation. Seventy-five patients, 11.4% of our patients, were shunted. The indication for shunt insertion was a decrease in cerebral saturation of >20% after carotid clamping. A total of 11 patients suffered stroke and 3 patients died in the postoperative period; 30-day death/stroke ratio for the whole group was 2.1%. One patient died and one patient suffered stroke in the shunted group in the postoperative period (2.6% 30-day death/stroke ratio). There were 2 deaths and 10 strokes in the group of nonshunted patients (2.1% 30-day death/stroke ratio). There was no significant difference in 30-day death/stroke ratio between the shunted and nonshunted patients. These results suggest that transcranial cerebral oximetry can be used as reliable, noninvasive, and continuous real-time monitoring during carotid endarterectomy." @default.
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- W2897527979 date "2018-11-01" @default.
- W2897527979 modified "2023-10-12" @default.
- W2897527979 title "CAR 4. Transcranial Cerebral Oximetry as Neuromonitoring During Carotid Endarterectomy" @default.
- W2897527979 doi "https://doi.org/10.1016/j.jvs.2018.08.056" @default.
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