Implementation of an Artificial Neuronal Network to Predict Shunt Necessity in Carotid Surgery

Annals of Vascular Surgery

Volumn 22, Issue 5, 2008, Pages 635-642

  Aleksic, Marko ^a   Luebke, Thomas ^a   Heckenkamp, Joerg ^a   Gawenda, Michael ^a   Reichert, Viktor ^a   Brunkwall, Jan ^a  

^a UNIVERSITY HOSPITAL OF COLOGNE   (Germany)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGED; ARTICLE; ARTIFICIAL NEURAL NETWORK; CAROTID ARTERY OBSTRUCTION; CAROTID ARTERY SURGERY; CAROTID ENDARTERECTOMY; CORONARY HEMODYNAMICS; FEMALE; HUMAN; LOCAL ANESTHESIA; MAJOR CLINICAL STUDY; MALE; PREOPERATIVE CARE; PRIORITY JOURNAL; REGRESSION ANALYSIS; SHUNTING;

ADULT; AGED; AGED, 80 AND OVER; CAROTID STENOSIS; CONSTRICTION; ENDARTERECTOMY, CAROTID; FEMALE; HEMODYNAMICS; HUMANS; LOGISTIC MODELS; MALE; MIDDLE AGED; MODELS, STATISTICAL; MONITORING, INTRAOPERATIVE; NEURAL NETWORKS (COMPUTER); PATIENT SELECTION; PREDICTIVE VALUE OF TESTS; REGISTRIES; RETROSPECTIVE STUDIES; RISK ASSESSMENT; ROC CURVE; STROKE; TIME FACTORS;

EID: 50149107022     PISSN: 08905096     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.avsg.2008.04.004     Document Type: Article

References (40)

1. Barnett H.J., Taylor D.W., Eliasziw M., et al. Benefit of carotid endarterectomy in patients with symptomatic moderate or severe stenosis. North American Symptomatic Carotid Endarterectomy Trial collaborators. N Engl J Med 339 (1998) 1415-1425
2. Halliday A., Mansfield A., Marro J., et al. Prevention of disabling and fatal strokes by successful carotid endarterectomy in patients without recent neurological symptoms: randomised controlled trial. Lancet 363 (2004) 1491-1502
3. McKinsey J.F., Desai T.R., Bassiouny H.S., et al. Mechanisms of neurologic deficits and mortality with carotid endarterectomy. Arch Surg 131 (1996) 526-531
4. Salvian A.J., Taylor D.C., Hsiang Y.N., et al. Selective shunting with EEG monitoring is safer than routine shunting for carotid endarterectomy. Cardiovasc Surg 5 (1997) 481-485
5. Bond R., Rerkasem K., and Rothwell P.M. Routine or selective carotid artery shunting for carotid endarterectomy (and different methods of monitoring in selective shunting). Stroke 34 (2003) 824-825
6. Arnold M., Sturzenegger M., Schaffler L., et al. Continuous intraoperative monitoring of middle cerebral artery blood flow velocities and electroencephalography during carotid endarterectomy. A comparison of the two methods to detect cerebral ischemia. Stroke 28 (1997) 1345-1350
7. Wellman B.J., Loftus C.M., Kresowik T.F., et al. The differences in electroencephalographic changes in patients undergoing carotid endarterectomies while under local versus general anesthesia. Neurosurgery 43 (1998) 769-773
8. Illig K.A., Sternbach Y., Zhang R., et al. EEG changes during awake carotid endarterectomy. Ann Vasc Surg 16 (2002) 6-11
9. Nguyen T.Q., Lind L., and Harris Jr. E.J. Selective shunting during carotid endarterectomy. Vascular 13 (2005) 23-27
10. Naylor A.R. There is more to preventing stroke after carotid surgery than shunt and patch debates. Eur J Vasc Endovasc Surg 29 (2005) 329-333
11. Terrin N., Schmid C.H., Griffith J.L., et al. External validity of predictive models: a comparison of logistic regression, classification trees, and neural networks. J Clin Epidemiol 56 (2003) 721-729
12. Baxt W.G. A neural network trained to identify the presence of myocardial infarction bases some decisions on clinical associations that differ from accepted clinical teaching. Med Decis Making 14 (1994) 217-222
13. Baxt W.G., and Skora J. Prospective validation of artificial neural network trained to identify acute myocardial infarction. Lancet 347 (1996) 12-15
14. Kemeny V., Droste D.W., Hermes S., et al. Automatic embolus detection by a neural network. Stroke 30 (1999) 807-810
15. Das A., Ben-Menachem T., Cooper G.S., et al. Prediction of outcome in acute lower-gastrointestinal haemorrhage based on an artificial neural network: internal and external validation of a predictive model. Lancet 362 (2003) 1261-1266
16. Vijaya G., Kumar V., and Verma H.K. ANN-based QRS-complex analysis of ECG. J Med Eng Technol 22 (1998) 160-167
17. Kloppel B. Application of neural networks for EEG analysis. Considerations and first results. Neuropsychobiology 29 (1994) 39-46
18. Jando G., Siegel R.M., Horvath Z., et al. Pattern recognition of the electroencephalogram by artificial neural networks. Electroencephalogr Clin Neurophysiol 86 (1993) 100-109
19. Penedo M.G., Carreira M.J., Mosquera A., et al. Computer-aided diagnosis: a neural-network-based approach to lung nodule detection. IEEE Trans Med Imaging 17 (1998) 872-880
20. DiRusso S.M., Sullivan T., Holly C., et al. An artificial neural network as a model for prediction of survival in trauma patients: validation for a regional trauma area. J Trauma 49 (2000) 212-220
21. Izenberg S.D., Williams M.D., and Luterman A. Prediction of trauma mortality using a neural network. Am Surg 63 (1997) 275-281
22. Dorsey S.G., Waltz C.F., Brosch L., et al. A neural network model for predicting pancreas transplant graft outcome. Diabetes Care 20 (1997) 1128-1133
23. Bottaci L., Drew P.J., Hartley J.E., et al. Artificial neural networks applied to outcome prediction for colorectal cancer patients in separate institutions. Lancet 350 (1997) 469-472
24. Baxt W.G. Application of artificial neural networks to clinical medicine. Lancet 346 (1995) 1135-1138
25. Ohno-Machado L., and Rowland T. Neural network applications in physical medicine and rehabilitation. Am J Phys Med Rehabil 78 (1999) 392-398
26. Sargent D.J. Comparison of artificial neural networks with other statistical approaches: results from medical data sets. Cancer 91 (2001) 1636-1642
27. Gaudart J., Giusiano B., and Huiart L. Comparison of the performance of multi-layer perceptron and linear regression for epidemiological data. Comput Stat Data Analysis 44 (2004) 547-570
28. Lapuerta P., L'Italien G.J., Paul S., et al. Neural network assessment of perioperative cardiac risk in vascular surgery patients. Med Decis Making 18 (1998) 70-75
29. Turton E.P., Scott D.J., Delbridge M., et al. Ruptured abdominal aortic aneurysm: a novel method of outcome prediction using neural network technology. Eur J Vasc Endovasc Surg 19 (2000) 184-189
30. Hadjianastassiou V.G., Franco L., Jerez J.M., et al. Optimal prediction of mortality after abdominal aortic aneurysm repair with statistical models. J Vasc Surg 43 (2006) 467-473
31. Rosenthal D., Stanton Jr. P.E., and Lamis P.A. Carotid endarterectomy. The unreliability of intraoperative monitoring in patients having had stroke or reversible ischemic neurologic deficit. Arch Surg 116 (1981) 1569-1575
32. Sandmann W., Kolvenbach R., and Willeke F. Risks and benefits of shunting in carotid endarterectomy. Stroke 24 (1993) 1098-1099
33. Schneider J.R., Droste J.S., Schindler N., et al. Carotid endarterectomy with routine electroencephalography and selective shunting: influence of contralateral internal carotid artery occlusion and utility in prevention of perioperative strokes. J Vasc Surg 35 (2002) 1114-1122
34. Wain R.A., Veith F.J., Berkowitz B.A., et al. Angiographic criteria reliably predict when carotid endarterectomy can be safely performed without a shunt. J Am Coll Surg 189 (1999) 93-100
35. Lopez-Bresnahan M.V., Kearse Jr. L.A., Yanez P., et al. Anterior communicating artery collateral flow protection against ischemic change during carotid endarterectomy. J Neurosurg 79 (1993) 379-382
36. Calligaro K.D., and Dougherty M.J. Correlation of carotid artery stump pressure and neurologic changes during 474 carotid endarterectomies performed in awake patients. J Vasc Surg 42 (2005) 684-689
37. Lacroix H., Van Gertruyden G., Van Hemelrijck J., et al. The value of carotid stump pressure and EEG monitoring in predicting carotid cross-clamping intolerance. Acta Chir Belg 96 (1996) 269-272
38. Allen B.T., Anderson C.B., Rubin B.G., et al. The influence of anesthetic technique on perioperative complications after carotid endarterectomy. J Vasc Surg 19 (1994) 834-842
39. Mayer R.C., Bingley J., Westcott M.J., et al. Intraoperative neurological changes in 1665 regional anaesthetic carotid endarterectomies predicts postoperative stroke. Aust NZJ Surg 77 (2007) 49-53
40. McCarthy R.J., Walker R., McAteer P., et al. Patient and hospital benefits of local anaesthesia for carotid endarterectomy. Eur J Vasc Endovasc Surg 22 (2001) 13-18