Cerebral oximetry during carotid clamping: Is blood pressure raising necessary?

Journal of Cardiovascular Medicine

Volumn 11, Issue 7, 2010, Pages 522-528

  Giustiniano, Enrico ^a   Alfano, Alessandra ^a   Battistini, Gian M ^a   Gavazzeni, Vittorio ^a   Spoto, Maria R ^a   Cancellieri, Franco ^a  

^a HUMANITAS CLINICAL AND RESEARCH CENTER   (Italy)

Author keywords

Arterial blood pressure; Carotid endarterectomy; Near infrared spectroscopy; Regional cerebral oxygen saturation

Indexed keywords

DOPAMINE; GLYCERYL TRINITRATE; HEMOGLOBIN; HEPARIN; PROTAMINE SULFATE; OXYGEN;

AGED; ANURIA; ARTICLE; BLOOD PRESSURE REGULATION; BRAIN BLOOD FLOW; CARDIOVASCULAR SURGERY; CAROTID CLAMPING; CAROTID ENDARTERECTOMY; CONTROLLED STUDY; FEMALE; HEART DISEASE; HEMOGLOBIN BLOOD LEVEL; HUMAN; INTRAOPERATIVE PERIOD; KIDNEY DISEASE; MAJOR CLINICAL STUDY; MALE; MEAN ARTERIAL PRESSURE; NEUROLOGIC DISEASE; OXIMETRY; OXYGEN SATURATION; POSTOPERATIVE COMPLICATION; REGIONAL CEREBRAL OXYGEN SATURATION; RETREATMENT; STENOSIS; STROKE; SYSTOLIC BLOOD PRESSURE; BLOOD; BLOOD PRESSURE; BRAIN CIRCULATION; BRAIN CIRCULUS ARTERIOSUS; CAROTID STENOSIS; COLLATERAL CIRCULATION; COMPARATIVE STUDY; GENERAL ANESTHESIA; LIGATION; MIDDLE AGED; NEAR INFRARED SPECTROSCOPY; PATHOPHYSIOLOGY; PATIENT MONITORING; PROCEDURES; RETROSPECTIVE STUDY; TREATMENT OUTCOME; VERY ELDERLY;

AGED; AGED, 80 AND OVER; ANESTHESIA, GENERAL; BLOOD PRESSURE; CAROTID STENOSIS; CEREBROVASCULAR CIRCULATION; CIRCLE OF WILLIS; COLLATERAL CIRCULATION; CONSTRICTION; ENDARTERECTOMY, CAROTID; FEMALE; HUMANS; MALE; MIDDLE AGED; MONITORING, INTRAOPERATIVE; OXIMETRY; OXYGEN; RETROSPECTIVE STUDIES; SPECTROSCOPY, NEAR-INFRARED; STROKE; TREATMENT OUTCOME;

EID: 77953257821     PISSN: 15582027     EISSN: None     Source Type: Journal    
DOI: 10.2459/JCM.0b013e32833246e7     Document Type: Article

References (14)

1. Jobsis FF. Noninvasive, infrared monitoring of cerebral and myocardial oxygen sufficiency and circulatory parameters. Science 1977; 198:1264-1267.
2. Edmonds HL, Ganzel BL, Austin EH. Cerebral oximetry for cardiac and vascular surgery. Semin Cardiothorac Vasc Anesth 2004; 8:147-166.
3. Carlin RE, McGraw DJ, Calimlim JR, Mascia MF. The use of near-infrared cerebral oximetry in awake carotid endarterectomy. J Clin Anesth 1998; 10:109-113.
4. Vets P, ten Broecke P, Adriansen H, Van Schil P, De Hert S. Cerebral oximetry in patients undergoing carotid endarterectomy. Acta Anaesthesiol Belg 2004; 55:215-220.
5. Samra S, Dy EA, Welch K, Dorje P, Zelenock GB, Stanley JC. Evaluation of cerebral oximeter as a monitor of cerebral ischemia during carotid endarterectomy. Anesthesiology 2000; 93:964-970.
6. Hirofumi O, Otone E, Hiroshi I, Satosi I, Shigeo I, Yasuhiro N, Masato S. The effectiveness of regional cerebral oxygen saturation monitoring using nearinfrared spectroscopy in carotid endarterectomy. J Clin Neurosci 2003; 10:79-83.
7. Larson CP Jr, Youngberg JA. Cerebral vascular surgery. In: Youngberg JA, Lake CL, Roizen MF, Wilson RS, editors. Cardiac, vascular and thoracic anesthesia. North Carolina, USA: Churchill-Livingstone; 2000. pp. 567- 589.
8. Rutgers DR, Blankensteijn JD, van der Grond J. Preoperative MRA flow quantification in CEA patients. Flow difference between patients who develop cerebral ischemia and patients who do not develop cerebral ischemia during cross-clamping of the carotid artery. Stroke 2000; 31:3021-3028.
9. Parenti G, Paoli C, Orlandi G, Paoli C, Orlandi G, Murri L. Cerebral oximetry during carotid endarterectomy. Stroke 1997; 28:878.
10. Lee TS, Hines GL, Feuerman M. Significant correlation between cerebral oximetry and carotid stump pressure during carotid endarterectomy. Ann Vasc Surg 2008; 22:58-62.
11. Yoshitani K, Kawaguchi M, Milura N, Okuno T, Kanoda T, Ohnishi Y, et al. Effects of hemoglobin concentration, skull thickness, and the area of the cerebrospinal fluid layer on near-infrared spectroscopy measurements. Anesthesiology 2007; 106:458-462.
12. De Beer T, Lodi O, Sear JW, Stoneham MD, Lodi O, de Beer TC, Sear JW. Increased administration of oxygen improves cerebral oxygenation during carotid endarterectomy. Anesthesia 2007; 62:424-427.
13. Illig KA, Sternbach Y, Zhang R, Burchfiel J, Shortell CK, Rhodes JM, et al. EEG changes during awake carotid endarterectomy. Ann Vasc Surg 2002; 16:6-11.
14. GALA Trial Collaborative Group. General anesthesia versus local anesthesia for carotid surgery (GALA): a multicenter, randomised controlled trial. Lancet 2008; 372:2132-2142.