Impact of intraoperative multimodal neurophysiological monitoring combined with blood pressure precision control on incidence of acute cerebral infarction after carotid endarterectomy
10.3760/cma.j.cn115354-20231215-00299
- VernacularTitle:术中多模式神经电生理监测联合血压精准控制对颈动脉内膜剥脱术后急性脑梗死发生的影响
- Author:
Hongzhen ZHANG
1
;
Shuxin ZHANG
;
Hongwei SHI
;
Chunpu REN
;
Yuguang LIU
Author Information
1. 聊城市东阿县人民医院血管神经外科，聊城 252201
- Keywords:
Neurophysiological monitoring;
Blood pressure precision control;
Carotid endarterectomy;
Acute cerebral infarction
- From:
Chinese Journal of Neuromedicine
2024;23(2):174-177
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the impact of intraoperative multimodal neurophysiological monitoring combined with blood pressure precise control on incidence of acute cerebral infarction after carotid endarterectomy.Methods:A retrospective study was peformed; 305 patients with atherosclerotic stenosis of the carotid artery admitted to and accepted carotid endarterectomy in Department of Vascular Neurosurgery, Dong'e County People's Hospital from January 2020 to September 2023 were selected. Intraoperative multimodal neurophysiological monitoring combined with traditional empirical modalities for blood pressure control was applied to 153 patients admitted to our hospital from January 2020 to December 2021 (control group), and intraoperative multimodal neurophysiological monitoring combined with blood pressure precise control (based on monitored sensory or motor wave amplitude changes) was applied to 152 patients admitted to our hospital from January 2022 to September 2023 (experimental group). Difference in postoperative acute cerebral infarction incidence between the 2 groups was compared.Results:The experimental group had significantly lower postoperative acute cerebral infarction incidence compared with the control group (4.6% vs. 13.0%, P<0.05). The experimental group had significantly lower postoperative asymptomatic acute cerebral infarction incidence compared with the control group (3.3% vs. 9.8%, P<0.05), while no significant difference was noted in postoperative symptomatic acute cerebral infarction incidence between the 2 groups ( P>0.05). Conclusion:Intraoperative multimodal neurophysiological monitoring combined with blood pressure precise control can reduce the postoperative acute cerebral infarction incidence in patients accepted carotid endarterectomy, especacailly postoperative asymptomatic acute cerebral infarction incidence, thereby enhancing surgical safety.
