Intraoperative cerebral blood flow monitoring during carotid endarterectomy
Keywords:
carotid artery surgery, intraoperative monitoring, DopplerAbstract
The results of stump pressure and middle cerebral blood flow velocity intraoperative monitoring in 75 patients during carotid surgery have been analized. The stump pressure ranged from 22 mm Hg till 85 mmHg. The author considers that critical level for patients with sustained completed stroke is 40 mm Hg. The worsening of the neurologic deficit occured in one case. Intraoprative middle cerebral blood flow velocity monitoring was made in 25 patients. The diminishing of the flow was registrated in 23 cases, but it didn’t reach the critical level. There was no postoperative complications in this group.Intraoperative monitoring during carotid surgery provides additional information regarding the cerebral circulation, helps to reduce the postoperative complications.References
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Copyright (c) 2001 Volodymyr Smolanka
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