کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2607840 1134315 2009 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Carotid endarterectomy: Intraoperative monitoring of cerebral perfusion
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی بیهوشی و پزشکی درد
پیش نمایش صفحه اول مقاله
Carotid endarterectomy: Intraoperative monitoring of cerebral perfusion
چکیده انگلیسی

SummaryCarotid endarterectomy (CEA) is a commonly performed surgical procedure aiming to relieve the neurological symptoms of carotid artery atherosclerosis and to prevent embolic stroke. There is unequivocal evidence to support CEA in both symptomatic and asymptomatic patients with certain degrees of carotid artery stenosis and the operation is increasingly performed early following neurological symptoms. One of the goals for the anaesthetist during CEA is to protect the brain from ischaemic injury. The brain is particularly susceptible to ischaemic insult during carotid cross-clamping and therefore the anaesthetist and surgeon must be able to detect significant falls in cerebral perfusion and intervene appropriately. The commonest intervention in this situation is the insertion of a surgical shunt, which is not without associated risk. Several methods exist for monitoring cerebral perfusion during CEA although the ideal method has yet to be determined as none is perfect. Techniques available include continuous clinical assessment in the awake patient, electroencephalography (EEG), somatosensory evoked potentials (SSEPs), transcranial Doppler (TCD), near infrared spectroscopy (NIRS), xenon blood flow and internal carotid artery stump pressure monitoring.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Current Anaesthesia & Critical Care - Volume 20, Issue 1, February 2009, Pages 42–45
نویسندگان
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