Predictors of shunt during carotid endarterectomy with routine electroencephalography monitoring

Journal of Vascular Surgery

Volumn 49, Issue 6, 2009, Pages 1374-1378

  Tan, Tze Woei ^a   Garcia Toca, Manuel ^a   Marcaccio Jr , Edward J ^a   Carney Jr , Wilfred I ^a   Machan, Jason T ^a   Slaiby, Jeffrey M ^a  

^a RHODE ISLAND HOSPITAL   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGED; ARTICLE; CARDIOVASCULAR RISK; CAROTID ARTERY OBSTRUCTION; CAROTID ENDARTERECTOMY; CONTROLLED STUDY; CORONARY ARTERY DISEASE; DIABETES MELLITUS; ELECTROCARDIOGRAPHY MONITORING; FEMALE; HUMAN; HYPERTENSION; MAJOR CLINICAL STUDY; MALE; PREOPERATIVE PERIOD; PRIORITY JOURNAL; SHUNTING; STROKE; SURGICAL RISK; TRANSIENT ISCHEMIC ATTACK;

AGED; AGED, 80 AND OVER; BRAIN ISCHEMIA; CAROTID STENOSIS; CEREBROVASCULAR CIRCULATION; ELECTROENCEPHALOGRAPHY; ENDARTERECTOMY, CAROTID; FEMALE; HUMANS; MALE; MIDDLE AGED; MONITORING, INTRAOPERATIVE; ODDS RATIO; PREDICTIVE VALUE OF TESTS; RETROSPECTIVE STUDIES; RISK ASSESSMENT; RISK FACTORS; SEVERITY OF ILLNESS INDEX; STROKE; TREATMENT OUTCOME;

EID: 66149151417     PISSN: 07415214     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jvs.2009.02.206     Document Type: Article

References (23)

1. North American Symptomatic Carotid Endarterectomy Trial Collaborators. Beneficial effect of carotid endarterectomy in symptomatic patients with high-grade carotid stenosis. N Engl J Med 325 (1991) 445-453
2. Barnett H.J.M., Taylor D.W., Eliasziw M., Fox A.J., Ferguson G.G., Haynes R.B., et al. Benefit of carotid endarterectomy in patients with symptomatic moderate to severe stenosis. N Engl J Med 339 (1998) 1415-1425
3. Executive Committee for the Asymptomatic Carotid Atherosclerosis Study. Endarterectomy for asymptomatic carotid artery stenosis. JAMA 273 (1995) 1421-1428
4. Halliday A., Mansfield A., Marro J., Petro C., Petro R., Potter J., et al. ; MRC Asymptomatic Carotid Surgery Trial (ACST) Collaborative Group. Prevention of disabling and fatal strokes by successful carotid endarterectomy in patients without recent neurological symptoms: randomized controlled trial. Lancet 363 (2004) 1491-1502
5. Woodworth G.F., McGirt M.J., Than K.D., Huang J., Perler B.A., and Tamargo R.J. Selective versus routine intraoperative shunting during carotid endarterectomy: a multivariate outcome analysis. Neurosurgery 61 (2007) 1170-1177
6. Blackshear W.M., DiCarlo V., Seifert K.B., and Connar R.G. Advantages of continuous electroencephaloghic monitoring during carotid artery surgery. J Cardiovasc Surg 27 (1986) 146-153
7. Faught E. Loss of high frequency EEG activities as a sensitive indicator of cerebral ischemia. Electroencephalogr Clin Neurophysiol 58 (1984) 119p
8. McGrail K.M. Introperative use of electroencephalography as an assessment of cerebral blood flow. Neurosurg Clin North Am 7 (1996) 685-692
9. Harada R.N., Comerota A.J., Good G.M., Hashemi H.A., and Hulihan J.P. Stump pressure, electroencephalographic changes, and the contralateral carotid artery: another look at selective shunting. Am J Surg 170 (1995) 148-153
10. Salvian A.J., Taylor D.C., Hsing Y.N., Hildebrand H.D., Litherland H.K., Humer M.P., et al. Selective shunting with EEG monitoring is safer than routine shunting for carotid endarterectomy. Cardiovasc Surg 5 (1997) 481-485
11. Schneider J.R., Droste J.S., Schindler N., Golan J.F., Bernstein L.P., and Rosenberg R.S. 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
12. Cho I., Smullens S.N., Streletz L.J., and Fariello R.G. The value of intraoperative EEG monitoring during carotid endarterectomy. Ann Neurol 20 (1986) 508-512
13. Plestis K.A., Loubser P., Mizrachi E.M., Kantis G., Jiang Z.D., and Howell J.F. Continuous electroencephalography monitoring and selective shunting reduces neurological morbidity rates in carotid endarterectomy. J Vasc Surg 25 (1997) 620-628
14. Taylor D.C., and Strandness D.E. Carotid artery duplex scanning. J Clin Ultrasound 15 (1987) 635-644
15. Jacobowitz G.R., Rockman C.B., Lamparello P.J., Adelman M.A., Schanzer A., Woo D., et al. Causes of perioperative stroke after carotid endarterectomy: special considerations in symptomatic patients. Ann Vasc Surg 15 (2001) 19-24
16. Smith J.L., Evans D.H., Fan L., Gaunt M.E., London N.J., Bell P.R., et al. Interpretation of embolic phenomenon during carotid endarterectomy. Stroke 26 (1995) 2281-2284
17. Steed D.L., Peitaman A.B., Grundy B.L., and Webster M.W. Causes of stroke in carotid endarterectomy. Stroke 92 (1982) 634-641
18. de Borst G.J., Moll F.L., van de Pavoordt H.D., Mauser H.W., Kelder J.C., and Acherstaf R.G. Stroke from carotid endarterectomy: when and how to reduce perioperative stroke?. Eur J Vasc Surg 21 (2001) 484-489
19. Pinkerton Jr. J.A. EEG as a criterion for shunt need in carotid endarterectomy. Ann Vasc Surg 16 (2002) 756-761
20. Bond R., Rerkasem K., Counsell C., Salinas R., Naylor R., Warlow C.P., et al. Routine or selective carotid artery shunting for carotid endarterectomy (and different methods of monitoring in selective shunting). Cochrane Database Syst Rev 2 (2002) CD000190.
21. Ballotta E., Dagiau G., Saladini M., Bottio T., Abbruzzese E., Meneghetti G., et al. Results of electroencephalographic monitoring during 369 consecutive carotid atery revascularizations. Eur Neurol 37 (1997) 43-47
22. Aleksic M., Heckenkamp J., Gawenda M., Reichest V., and Brunkwall J. Evaluation of changes of systemic blood pressure and shunt incidence in CEA. Eur J Vasc Endovasc Surg 34 (2007) 540-545
23. Barman A.A., Batiuchok W., Creedon J.J., and Anban T. Carotid endarterectomy without temporary shunt: importance of pharmacological control of blood pressure. N Y State J Med 83 (1983) 697-698