Cerebral oxygenation and processed EEG response to clamping and shunting during carotid endarterectomy under general anesthesia

Journal of Clinical Monitoring and Computing

Volumn 29, Issue 6, 2015, Pages 713-720

  Perez, William ^a   Dukatz, Christopher ^b   El Dalati, Sami ^b   Duncan, James ^b   Abdel Rasoul, Mahmoud ^c   Springer, Andrew ^a   Go, Michael R ^a   Dzwonczyk, Roger ^a,d  

^a THE OHIO STATE UNIVERSITY WEXNER MEDICAL CENTER   (United States)

^b THE OHIO STATE UNIVERSITY COLLEGE OF MEDICINE   (United States)

^c OHIO STATE UNIVERSITY   (United States)

^d The Ohio State University   (United States)

Author keywords

Carotid endarterectomy; Cerebral blood flow; Cerebral ischemia; Cerebral oximetry; NIRS; Processed EEG

Indexed keywords

ANESTHESIOLOGY; BLOOD; BLOOD VESSELS; FAILURE ANALYSIS; HEMODYNAMICS; OXYGENATION; SURGERY; TRANSPLANTATION (SURGICAL);

CAROTID ENDARTERECTOMIES; CEREBRAL BLOOD FLOW; CEREBRAL ISCHEMIA; NIRS; OXIMETRY; PROCESSED EEG;

ELECTROENCEPHALOGRAPHY;

DESFLURANE; FENTANYL; ISOFLURANE; PROPOFOL; REMIFENTANIL; SEVOFLURANE; OXYGEN;

AGED; ARTERIAL OXYGEN SATURATION; ARTICLE; BRAIN BLOOD FLOW; BRAIN OXYGEN CONSUMPTION; CAROTID ARTERY; CAROTID ARTERY CLAMP; CAROTID ARTERY OBSTRUCTION; CAROTID ENDARTERECTOMY; ELECTROENCEPHALOGRAPHY; FEMALE; GENERAL ANESTHESIA; HUMAN; MAJOR CLINICAL STUDY; MALE; OXYGENATION; PATIENT MONITORING; PRIORITY JOURNAL; SHUNTING; SURGICAL RISK; ADVERSE EFFECTS; BLOOD; BRAIN CIRCULATION; BRAIN ISCHEMIA; LIGATION; OXIMETRY; PROCEDURES; PROSPECTIVE STUDY;

ANESTHESIA, GENERAL; BRAIN ISCHEMIA; CEREBROVASCULAR CIRCULATION; CONSTRICTION; ELECTROENCEPHALOGRAPHY; ENDARTERECTOMY, CAROTID; HUMANS; MONITORING, INTRAOPERATIVE; OXIMETRY; OXYGEN; PROSPECTIVE STUDIES;

EID: 84945494179     PISSN: 13871307     EISSN: 15732614     Source Type: Journal    
DOI: 10.1007/s10877-014-9657-4     Document Type: Article

References (17)

1. Roger VL, Go AS, Lloyd-Jones DM, Benjamin EJ, Berry JD, Borden WB, et al. Heart disease and stroke statistics—2012 update: a report from the American Heart Association. Circulation. 2012;125:e2–220.
2. Kofke WA, Brauer P, Policare R, Penthany S, Barker D, Horton J. Middle cerebral artery blood flow velocity and stable xenon-enhanced computed tomographic blood flow during balloon test occlusion of the internal carotid artery. Stroke. 1995;26(9):1603–6.
3. Bond R, Rerkasem K, Rothwell PM. Routine or selective carotid artery shunting for carotid endarterectomy (and different methods of monitoring in selective shunting). Stroke. 2003;34:824–5.
4. Girn HR, Dellagrammaticas D, Laughlan K, Gough MJ. Carotid endarterectomy: technical practices of surgeons participating in the GALA trial. Eur J Vasc Endovasc Surg. 2008;36:385–9.
5. Pennekamp CW, Bots ML, Kapelle LJ, Moll FL, de Borst GJ. The value of near-infrared spectroscopy measured cerebral oximetry during carotid endarterectomy in perioperative stroke prevention. A review. Eur J Vasc Endovasc Surg. 2009;38(5):539–45.
6. Pennekamp CW, Immink RV, den Ruijter HM, Kappelle LJ, Bots ML, Buhre WF, et al. Near-infrared spectroscopy to indicate selective shunt use during carotid endarterectomy. Eur J Vasc Endovasc Surg. 2013;46(4):397–403.
7. Dahaba AA, Xue JX, Hua Y, Liu QH, Xu GX, Liu YM, et al. The utility of using the bispectral Index–Vista for detecting cross-clamping decline in cerebral blood flow velocity. Neurosurgery 2010; 67(3 Suppl Operative):ons102–7; discussion ons107. doi: 10.1227/01.NEU.0000383152.50183.81.
8. Rerkasem K, Rothwell PM. Routine or selective carotid artery shunting for carotid endarterectomy (and different methods of monitoring in selective shunting). Stroke. 2010;41:e53–4.
9. Kodaka MK, Nishikawa Y, Suzuki T, Asano K, Maeyama A, Miyao H. Does bilateral bispectral index monitoring (BIS) detect the discrepancy of cerebral reperfusion during carotid endarterectomy? J Clin Anesth. 2009;21:431–4.
10. Leichtle SW, Mouawad NJ, Welch K, Lampman R, Whitehouse WM Jr, Heidenreich M. Outcomes of carotid endarterectomy under general and regional anesthesia from the American College of Surgeons’ National Surgical Quality Improvement Program. J Vasc Surg. 2012;56(1):81–8.
11. Skordilis M, Rich N, Viloria A, Dimitrova G, Bergese S, Dzwonczyk R. Electroencephalogram response of patients undergoing carotid endarterectomy: a pilot study. Ann Vasc Surg. 2011;25:909–12.
12. Samra SK, Dy EA, Welch K, Dorje P, Zelenock GB, Stanley JC. Evaluation of a cerebral oximeter as a monitor of cerebral ischemia during carotid endarterectomy. Anesthesiology. 2000;93:964–70.
13. Estruch-Perez MJ, Ausina-Aguilar A, Barbera-Alacreu M, Sanchez-Morillo J, Solaz-Roldan C, Morales-Suarez-Varela MM. Bispectral index changes in carotid surgery. Ann Vasc Surg. 2010;24:393–9.
14. Stilo F, Spinelli F, Martelli E, Pipitó N, Barillà D, De Caridi G, et al. The sensibility and specificity of cerebral oximetry, measured by INVOS 4100, in patients undergoing carotid endarterectomy compared with awake testing. Minerva Anestesiol. 2012;78(10):1126–35.
15. Pedrini L, Magnoni F, Sensi L, Pisano E, Ballestrazzi M, Cirelli M, et al. Is near-infrared spectroscopy a reliable method to evaluate clamping ischemia during carotid surgery? Stroke Res Treat. 2012:156975. doi: 10.1155/2012/156975. (Epub 2011 Nov 9).
16. Zogogiannis ID, Iatrou CA, Lazarides MK, Vogiatzaki TD, Wachtel MS, Chatzigakis PK, et al. Evaluation of an intraoperative algorithm based on near-infrared refracted spectroscopy monitoring, in the intraoperative decision for shunt placement, in patients undergoing carotid endarterectomy. Middle East J Anesthesiol. 2011;21(3):367–73.
17. Heller H, Hatami R, Mullin P, Sciacca RR, Khandji AG, Hamberger M, et al. Bilateral bispectral index monitoring during suppression of unilateral hemispheric function. Anesth Analg. 2005;101(1):235–41.