Intraoperative Monitoring (IOM) O-IM001. Intraoperative hypoglossal nerve mapping during carotid endarterectomy

2021 ◽  
Vol 132 (8) ◽  
pp. e74
Author(s):  
Atsuhiro Kojima ◽  
Isako Saga ◽  
Mami Ishikawa
Keyword(s):  
Carotid Endarterectomy ◽  
Intraoperative Monitoring ◽  
Hypoglossal Nerve

scholarly journals P.118 An experience with combined cerebral oximetry and stump pressure measurement to guide shunt insertion during carotid endarterectomy

2016 ◽  
Vol 43 (S2) ◽  
pp. S47-S47
Author(s):  
R Kesarwani ◽  
M Findlay
Keyword(s):  
Blood Flow ◽  
Carotid Endarterectomy ◽  
Pressure Measurement ◽  
Intraoperative Monitoring ◽  
Cerebral Oximetry ◽  
Cerebral Oxygen ◽  
Collateral Blood Flow ◽  
Shunt Insertion ◽  
Perioperative Stroke ◽  
Stump Pressure

Background: Cross-clamp ischemia during carotid endarterectomy (CEA) can cause perioperative stroke. Selectively shunting patients based on intraoperative monitoring modalities that assess risk for ischemia can reduce the occurrence of immediate stroke. An experience with combined cerebral oximetry and stump pressure measurement to direct selective shunting is presented here. Methods: Study comparing intraoperative monitoring data, the decision to shunt, and presence of immediate post-operative deficits. Patients were shunted if either cerebral oxygen saturation dropped by more than 10% by cerebral oximetry, or stump pressure during cross-clamping was less than 40 mmHg. Cross-clamp ischemia was determined by the presence of ipsilateral neurological deficit upon awakening. Results: 245 patients were included in this study. 22% were shunted. Patients who were not shunted were significantly more likely to have collateral blood flow detected on angiography. Immediate post-operative stroke was not encountered in any of the patients included in the study. One patient who met shunting criteria but was excluded since he could not have a shunt inserted due to difficult anatomy did suffer stroke. Conclusions: With the dual-monitoring criteria presented here, 22% of patients were shunted. With the exception of one patient who could not have a shunt placed, no immediate post-operative stroke was encountered.

Considerations after intraoperative monitoring of somatosensory evoked potentials during carotid endarterectomy

1989 ◽  
Vol 10 (3) ◽  
pp. 315-320 ◽  
Author(s):  
L. Carenini ◽  
E. Bottacchi ◽  
M. Camerlingo ◽  
A. Mamoli
Keyword(s):  
Evoked Potentials ◽  
Carotid Endarterectomy ◽  
Somatosensory Evoked Potentials ◽  
Intraoperative Monitoring

scholarly journals Bilateral hypoglossal nerve injury after bilateral carotid endarterectomy.

Stroke ◽  
1988 ◽  
Vol 19 (2) ◽  
pp. 261-262 ◽  
Author(s):  
J A Gutrecht ◽  
H R Jones
Keyword(s):  
Carotid Endarterectomy ◽  
Nerve Injury ◽  
Hypoglossal Nerve ◽  
Bilateral Carotid

scholarly journals Manajemen Neuroanestesi pada Operasi Carotid Endarterectomy: Pasien dengan Riwayat Stroke Berulang

2021 ◽  
Vol 10 (1) ◽  
pp. 22-28
Author(s):  
Chrismas Gideon Bangun ◽  
◽  
RR Sinta Irina ◽  
Dewi Yulianti Bisri ◽  
Eri Surachman ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Blood Flow ◽  
Carotid Endarterectomy ◽  
Intraoperative Monitoring ◽  
Recurrent Stroke ◽  
Perioperative Complications ◽  
Eeg Monitoring ◽  
Carotid Disease ◽  
Leg Weakness ◽  
Electroencephalogram Eeg

Carotid endarterectomy (CEA) is a surgical procedure performed to restore carotid blood flow and reduce the incidence of embolic and thrombotic strokes. Although it is a preventive procedure, CEA carries the risk of perioperative complications: neurologic and cardiac. Major complications of CEA are intra and postoperative stroke, myocardial infarction, and death. To reduce the number of intraoperative stroke events, one of them is to develop intraoperative monitoring technology with electroencephalogram (EEG). In this case, a male patient, 62 years old, with statistics of recurrent stroke and left leg weakness was approved for CEA under general anesthesia. Surgeons decide to use shunt selectively by assessing EEG monitoring when clamping. Finally the shunt was not performed, the operation lasted for 6 hours, tinged with hemodynamic shocks that often occur in patients with carotid disease due to baroreceptor disorders. By managing anesthesia meticulously during and after surgery, the operation was successfully performed, and the results of the post on the left leg strengthening motor increased from 2 to 4.

scholarly journals 1.Carotid endarterectomy and intraoperative monitoring

2003 ◽  
Vol 12 (4) ◽  
pp. 300
Author(s):  
Yoshikazu Okada
Keyword(s):  
Carotid Endarterectomy ◽  
Intraoperative Monitoring

scholarly journals Intraoperative Monitoring of Hypoglossal Nerve Using Hypoglossal Motor Evoked Potential in Infratentorial Tumor Surgery: A Report of Two Cases

2018 ◽  
Vol 42 (2) ◽  
pp. 352 ◽  
Author(s):  
Seung Yeun Kim ◽  
Hyo Won Im ◽  
Young-Doo Choi ◽  
Keewon Kim ◽  
Jin Wook Kim ◽  
...  
Keyword(s):  
Intraoperative Monitoring ◽  
Evoked Potential ◽  
Hypoglossal Nerve ◽  
Motor Evoked Potential ◽  
Tumor Surgery

scholarly journals Ultrasound Diagnoses for Intraoperative Monitoring during Carotid Endarterectomy.

Neurosonology ◽  
1998 ◽  
Vol 11 (3) ◽  
pp. 118-122
Author(s):  
Hideo OTSUKI ◽  
Susumu NAKATANI ◽  
Hiroyuki NAKATA ◽  
Mami YAMASAKI ◽  
Masanobu YAMADA ◽  
...  
Keyword(s):  
Carotid Endarterectomy ◽  
Intraoperative Monitoring

Intraoperative Monitoring of Scalp-recorded SEPs During Carotid Endarterectomy

1988 ◽  
pp. 107-119 ◽  
Author(s):  
M. Caramia ◽  
F. Zarola ◽  
G. L. Gigli ◽  
F. Lavaroni ◽  
P. M. Rossini
Keyword(s):  
Carotid Endarterectomy ◽  
Intraoperative Monitoring

Continuous Intraoperative Monitoring of Middle Cerebral Artery Blood Flow Velocities and Electroencephalography During Carotid Endarterectomy

Stroke ◽  
1997 ◽  
Vol 28 (7) ◽  
pp. 1345-1350 ◽  
Author(s):  
Marcel Arnold ◽  
Matthias Sturzenegger ◽  
Leonard Schäffler ◽  
Rolf W. Seiler
Keyword(s):  
Blood Flow ◽  
Middle Cerebral Artery ◽  
Carotid Endarterectomy ◽  
Cerebral Artery ◽  
Intraoperative Monitoring ◽  
Artery Blood Flow ◽  
Blood Flow Velocities ◽  
Flow Velocities
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