Value of multimodal imaging-based precise evaluation and standardized monitoring in reducing perioperative complications of carotid endarterectomy
10.19845/j.cnki.zfysjjbzz.2025.0179
- VernacularTitle:多模态影像精准评估、规范监护对于减少CEA围术期并发症的价值
- Author:
Binbin SONG
1
;
Yaxing WANG
1
Author Information
1. Department of Neurological Function， Luoyang Central Hospital Affiliated to Zhengzhou University， Luoyang 471000， China
- Publication Type:Journal Article
- Keywords:
Carotid stenosis;
Carotid endarterectomy;
Preoperative evaluation / Intraoperative monitoring
- From:
Journal of Apoplexy and Nervous Diseases
2025;42(11):979-983
- CountryChina
- Language:Chinese
-
Abstract:
Severe carotid artery stenosis is an independent risk factor for stroke， and carotid endarterectomy （CEA） can effectively prevent ischemic stroke by alleviating such stenosis. However， CEA carries certain risks of adverse events， including perioperative death， ischemic stroke， and hyperperfusion injury， and these adverse events not only compromise perioperative safety but also diminish the efficacy of the procedure in preventing cerebral ischemic events. A multimodal imaging-based comprehensive management mode （i.e.， preoperative assessment with carotid ultrasound， transcranial Doppler （TCD）， and CT angiography， intraoperative monitoring with TCD and cerebral oximetry， and standardized postoperative follow-up with carotid ultrasound and TCD） can significantly reduce perioperative mortality and the incidence rate of stroke and avoid hypoperfusion， hyperperfusion syndrome， and arterial restenosis or occlusion， thereby enhancing the perioperative safety of CEA.
- Full text:2025122910015753024多模态影像精准评估、规范监护对于减少CEA围术期并发症的价值.pdf
