Dual Monitoring with Stump Pressure and Electroencephalography During Carotid Endarterectomy.
10.5090/kjtcs.2017.50.2.94
- Author:
Jee Won CHANG
1
;
Su Wan KIM
;
Seogjae LEE
;
Jonggeun LEE
;
Min Jung KU
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Jeju National University Hospital, Jeju National University School of Medicine, Korea. jeewon71@naver.com
- Publication Type:Original Article
- Keywords:
Endarterectomy, carotid;
Intraoperative neurophysiological monitoring;
Stroke;
Carotid artery disease
- MeSH:
Carotid Artery Diseases;
Electroencephalography*;
Endarterectomy, Carotid*;
Hemorrhage;
Humans;
Intraoperative Neurophysiological Monitoring;
Medical Records;
Methods;
Monitoring, Intraoperative;
Mortality;
Retrospective Studies;
Stroke
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2017;50(2):94-98
- CountryRepublic of Korea
- Language:English
-
Abstract:
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.
