Transcranial Doppler monitoring during carotid endarterectomy - A technical case report

被引：3
作者：
Heyer, EJ
Winfree, CJ
Mack, WJ
Connolly, ES
机构：
[1] Columbia Univ Coll Phys & Surg, New York Presbyterian Hosp, Dept Anesthesiol, New York, NY 10032 USA
[2] Columbia Univ Coll Phys & Surg, New York Presbyterian Hosp, Dept Neurol, New York, NY 10032 USA
[3] Columbia Univ Coll Phys & Surg, New York Presbyterian Hosp, Dept Neurosurg, New York, NY 10032 USA
来源：
JOURNAL OF NEUROSURGICAL ANESTHESIOLOGY | 2000年 / 12卷 / 03期
关键词：
carotid endarterectomy; surgery; transcranial Doppler;
D O I：
10.1097/00008506-200007000-00007
中图分类号：
R614 [麻醉学];
学科分类号：
100217 ;
摘要：
We report a case involving a patient undergoing carotid endarterectomy in whom transcranial doppler monitoring demonstrated impaired cerebral blood now during the initial dissection of the carotid artery, during cross-clamping of the carotid artery, and after the shunt was kinked inadvertently. Only when the carotid artery was cross-clamped were these ischemic changes also seen by electroencephalography. During the other episodes, the electroencephalography tracings demonstrated no detectable changes. This case illustrates the importance of using multiple modalities to determine the adequacy of cerebral blood flow and neuronal integrity.
引用
收藏
页码：233 / 239
页数：7
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