Subclinical ischemia verified by somatosensory evoked potential amplitude reduction during carotid endarterectomy: Negative effects on cognitive performance. Clinical article

Journal of Neurosurgery

Volumn 118, Issue 5, 2013, Pages 1023-1029

  Inoue, Tomohiro ^a   Ohwaki, Kazuhiro ^b   Tamura, Akira ^a   Tsutsumi, Kazuo ^c   Saito, Isamu ^a   Saito, Nobuhito ^d  

^a Fuji Brain Institute and Hospital   (Japan)

^b TEIKYO UNIVERSITY SCHOOL OF MEDICINE   (Japan)

^c Showa General Hospital   (Japan)

^d UNIVERSITY OF TOKYO   (Japan)

Author keywords

Carotid endarterectomy; Cognitive function; Hypoperfusion; Neuropsychological examination; Somatosensory evoked potential; Vascular disorders

Indexed keywords

AGED; ARTICLE; BRAIN ISCHEMIA; CAROTID ENDARTERECTOMY; COGNITION; DIFFUSION WEIGHTED IMAGING; EVOKED SOMATOSENSORY RESPONSE; FEMALE; HEMODYNAMICS; HUMAN; MAJOR CLINICAL STUDY; MALE; NEUROPSYCHOLOGICAL TEST; PRIORITY JOURNAL; WECHSLER INTELLIGENCE SCALE; WECHSLER MEMORY SCALE;

AGED; AGED, 80 AND OVER; BRAIN ISCHEMIA; CAROTID ARTERIES; COGNITION; DIFFUSION MAGNETIC RESONANCE IMAGING; ENDARTERECTOMY, CAROTID; EVOKED POTENTIALS, SOMATOSENSORY; FEMALE; HEMODYNAMICS; HUMANS; MALE; MIDDLE AGED; MONITORING, INTRAOPERATIVE; NEUROPSYCHOLOGICAL TESTS; REGRESSION ANALYSIS; RETROSPECTIVE STUDIES;

EID: 84877774914     PISSN: 00223085     EISSN: 19330693     Source Type: Journal    
DOI: 10.3171/2013.1.JNS121668     Document Type: Article

References (36)

1. Altinbas A, van Zandvoort MJE, van den Berg E, Jongen LM, Algra A, Moll FL, et al: Cognition after carotid endarterectomy or stenting: a randomized comparison. Neurology 77:1084-1090, 2011
2. Beese U, Langer H, Lang W, Dinkel M: Comparison of near-infrared spectroscopy and somatosensory evoked potentials for the detection of cerebral ischemia during carotid endarterectomy. Stroke 29:2032-2037, 1998 (Pubitemid 28443513)
3. Branston NM, Ladds A, Symon L, Wang AD: Comparison of the effects of ischaemia on early components of the somatosensory evoked potential in brainstem, thalamus, and cerebral cortex. J Cereb Blood Flow Metab 4:68-81, 1984 (Pubitemid 14169321)
4. Brinkman SD, Braun P, Ganji S, Morrell RM, Jacobs LA: Neuropsychological performance one week after carotid endarterectomy reflects intra-operative ischemia. Stroke 15:497-503, 1984 (Pubitemid 14105964)
5. Cho H, Nemoto EM, Yonas H, Balzer J, Sclabassi RJ: Cerebral monitoring by means of oximetry and somatosensory evoked potentials during carotid endarterectomy. J Neurosurg 89:533-538, 1998 (Pubitemid 28440920)
6. Cushman L, Brinkman SD, Ganji S, Jacobs LA: Neuropsychological impairment after carotid endarterectomy correlates with intraoperative ischemia. Cortex 20:403-412, 1984 (Pubitemid 14031970)
7. De Rango P, Caso V, Leys D, Paciaroni M, Lenti M, Cao P: The role of carotid artery stenting and carotid endarterectomy in cognitive performance: a systematic review. Stroke 39:3116-3127, 2008
8. De Vleeschauwer P, Horsch S, Matamoros R: Monitoring of somatosensory evoked potentials in carotid surgery: results, usefulness and limitations of the method. Ann Vasc Surg 2:63-68, 1988
9. Dinkel M, Schweiger H, Goerlitz P: Monitoring during carotid surgery: somatosensory evoked potentials vs. carotid stump pressure. J Neurosurg Anesthesiol 4:167-175, 1992
10. Feliziani FT, Polidori MC, De Rango P, Mangialasche F, Monastero R, Ercolani S, et al: Cognitive performance in elderly patients undergoing carotid endarterectomy or carotid artery stenting: a twelve-month follow-up study. Cerebrovasc Dis 30:244-251, 2010
11. Fujita K, Maekawa H, Dairoku H, Yamanaka K: [Japanese Wechsler Adult Intelligence Scale - Third Edition.] Tokyo: Nihon Bunka Kagakusha, 2006 (Jpn)
12. Furui T, Hasuo M: Indwelling double-balloon shunt for carotid endarterectomy. Technical note. J Neurosurg 60:861-863, 1984 (Pubitemid 14165129)
13. Gaunt ME, Martin PJ, Smith JL, Rimmer T, Cherryman G, Ratliff DA, et al: Clinical relevance of intraoperative embolization detected by transcranial Doppler ultrasonography during carotid endarterectomy: a prospective study of 100 patients. Br J Surg 81:1435-1439, 1994 (Pubitemid 24305981)
14. Ghogawala Z, Westerveld M, Amin-Hanjani S: Cognitive outcomes after carotid revascularization: the role of cerebral emboli and hypoperfusion. Neurosurgery 62:385-395, 2008
15. Heyer EJ, Adams DC, Solomon RA, Todd GJ, Quest DO, McMahon DJ, et al: Neuropsychometric changes in patients after carotid endarterectomy. Stroke 29:1110-1115, 1998 (Pubitemid 28265463)
16. Heyer EJ, DeLaPaz R, Halazun HJ, Rampersad A, Sciacca R, Zurica J, et al: Neuropsychological dysfunction in the absence of structural evidence for cerebral ischemia after uncomplicated carotid endarterectomy. Neurosurgery 58:474-480, 2006
17. Kawamata T, Okada Y, Kawashima A, Yoneyama T, Yamaguchi K, Ono Y, et al: Postcarotid endarterectomy cerebral hyperperfusion can be prevented by minimizing intraoperative cerebral ischemia and strict postoperative blood pressure control under continuous sedation. Neurosurgery 64:447-454, 2009
18. Kuroda H, Ogasawara K, Hirooka R, Kobayashi M, Fujiwara S, Chida K, et al: Prediction of cerebral hyperperfusion after carotid endarterectomy using middle cerebral artery signal intensity in preoperative single-slab 3-dimensional time-of-flight magnetic resonance angiography. Neurosurgery 64:1065-1072, 2009
19. Lal BK, Younes M, Cruz G, Kapadia I, Jamil Z, Pappas PJ: Cognitive changes after surgery vs stenting for carotid artery stenosis. J Vasc Surg 54:691-698, 2011
20. Lam AM, Manninen PH, Ferguson GG, Nantau W: Monitoring electrophysiologic function during carotid endarterectomy: a comparison of somatosensory evoked potentials and conventional electroencephalogram. Anesthesiology 75:15-21, 1991
21. Manninen PH, Tan TK, Sarjeant RM: Somatosensory evoked potential monitoring during carotid endarterectomy in patients with a stroke. Anesth Analg 93:39-44, 2001 (Pubitemid 32601150)
22. Mazul-Sunko B, Hromatko I, Tadinac M, Sekulić A, Ivanec Ž, Gvozdenović A, et al: Subclinical neurocognitive dysfunction after carotid endarterectomy-the impact of shunting. J Neurosurg Anesthesiol 22:195-201, 2010
23. Mocco J, Wilson DA, Komotar RJ, Zurica J, Mack WJ, Halazun HJ, et al: Predictors of neurocognitive decline after carotid endarterectomy. Neurosurgery 58:844-850, 2006
24. North American Symptomatic Carotid Endarterectomy Trial Collaborators: Beneficial effect of carotid endarterectomy in symptomatic patients with high-grade carotid stenosis. N Engl J Med 325:445-453, 1991
25. Ogasawara K, Yamadate K, Kobayashi M, Endo H, Fukuda T, Yoshida K, et al: Postoperative cerebral hyperperfusion associated with impaired cognitive function in patients undergoing carotid endarterectomy. J Neurosurg 102:38-44, 2005 (Pubitemid 43186694)
26. Ropper AH: Evoked potentials in cerebral ischemia. Stroke 17:3-5, 1986
27. Rowed DW, Houlden DA, Burkholder LM, Taylor AB: Comparison of monitoring techniques for intraoperative cerebral ischemia. Can J Neurol Sci 31:347-356, 2004 (Pubitemid 39295453)
28. Skjelland M, Krohg-Sørensen K, Tennøe B, Bakke SJ, Brucher R, Russell D: Cerebral microemboli and brain injury during carotid artery endarterectomy and stenting. Stroke 40:230-234, 2009
29. Smith JL, Evans DH, Fan L, Gaunt ME, London NJM, Bell PRF, et al: Interpretation of embolic phenomena during carotid endarterectomy. Stroke 26:2281-2284, 1995
30. Sugishita M: [Japanese Wechsler Memory Scale-Revised.] Tokyo: Nihon Bunka Kagakusha, 2001 (Jpn)
31. Sundt TM Jr, Sharbrough FW, Piepgras DG, Kearns TP, Messick JM Jr, O'Fallon WM: Correlation of cerebral blood flow and electroencephalographic changes during carotid endarterectomy: with results of surgery and hemodynamics of cerebral ischemia. Mayo Clin Proc 56:533-543, 1981 (Pubitemid 12230956)
32. Sztriha LK, Nemeth D, Sefcsik T, Vecsei L: Carotid stenosis and the cognitive function. J Neurol Sci 283:36-40, 2009
33. Wasser K, Pilgram-Pastor SM, Schnaudigel S, Stojanovic T, Schmidt H, Knauf J, et al: New brain lesions after carotid revascularization are not associated with cognitive performance. J Vasc Surg 53:61-70, 2011
34. Weigand MA, Laipple A, Plaschke K, Eckstein HH, Martin E, Bardenheuer HJ: Concentration changes of malondialdehyde across the cerebral vascular bed and shedding of L-selectin during carotid endarterectomy. Stroke 30:306-311, 1999 (Pubitemid 29071794)
35. Wolf O, Heider P, Heinz M, Poppert H, Sander D, Greil O, et al: Microembolic signals detected by transcranial Doppler sonography during carotid endarterectomy and correlation with serial diffusion-weighted imaging. Stroke 35:e373-e375, 2004
36. Woodworth GF, McGirt MJ, Than KD, Huang J, Perler BA, Tamargo RJ: Selective versus routine intraoperative shunting during carotid endarterectomy: a multivariate outcome analysis. Neurosurgery 61:1170-1177, 2007