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Название: Cerebral monitoring during carotid endarterectomy using transcranial cerebral oximetry
Авторы: Sihotský, Vladimír
Berek, Péter
Kopolovets, Ivan
Frankovičová, Mária
Štefanič, Peter
Kubíková, Mária
Mucha, Rastislav
Ключевые слова: carotid endarterectomy, transcranial cerebral oximetry
Дата публикации: 2020
Издательство: Bratisl Med J
Серия/номер: 121;6
Краткий осмотр (реферат): OBJECTIVE: This study aimed to evaluate the outcomes of carotid endarterectomies (CEA) performed using transcranial cerebral oximetry as cerebral monitoring METHODS: This single-center study included patients treated surgically for signifi cant stenosis of the internal carotid artery (ICA) from January 2012 to December 2017 RESULTS: Of the 654 patients, 267 were asymptomatic, and 387 were symptomatic. Eversion CEA was performed in 64.8 %, and patched conventional CEA in 35.2 % of all patients. Totally 11.4 % of all patients had a shunt inserted; all patients with the inserted shunt had the conventional pathed CEA. Severe postoperative complications occurred in 1.5 % of asymptomatic patients and 2.6 % of symptomatic patients. The stroke and death ratio in the shunted group was 2.7 %, and in the non-shunted group, 2.1 % (p = 0.7). We found no signifi cant difference in severe postoperative complications between the shunted and non-shunted group. Further, we found the male gender (p = 0.005), coronary artery disease (p = 0.01), and ongoing smoking (p = 0.003) to be signifi cantly associated with neurological symptoms of the ICA stenosis. We also confi rmed current tobacco smoking to be signifi cantly associated with the occurrence of postoperative stroke and death (p = 0.005) CONCLUSION: We found transcranial cerebral oximetry to be reliable in the determination of shunt insertion
Тип: Text
Тип публикации: Стаття
URI (Унифицированный идентификатор ресурса): https://dspace.uzhnu.edu.ua/jspui/handle/lib/31704
Располагается в коллекциях:Наукові публікації НДНЦ молекулярної мікробіології та імунології слизових оболонок

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