Transcranial Doppler monitoring during carotid endarterectomy helps to identify patients at risk of postoperative hyperperfusion
| Autor: | I. C. M. Beenakkers, R. G. A. Ackerstaff, J. A. Leusink, J. E. Dalman, Frans L. Moll |
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| Rok vydání: | 1999 |
| Předmět: |
Male
Risk Perioperative monitoring Ultrasonography Doppler Transcranial medicine.medical_treatment Brain Edema Hyperemia Carotid endarterectomy Pulsatility index Peak Blood Flow Velocity Postoperative Complications medicine.artery Monitoring Intraoperative medicine Hyperperfusion syndrome Humans Carotid Stenosis IntraÍcerebral haemorrhage Endarterectomy Aged Cerebral Hemorrhage Medicine(all) Aged 80 and over Endarterectomy Carotid business.industry Transcranial Doppler Middle Aged Prognosis Blood pressure Anesthesia Pulsatile Flow Middle cerebral artery cardiovascular system Surgery Female Intracranial Hypertension Cardiology and Cardiovascular Medicine business Blood Flow Velocity Cohort study |
| Zdroj: | European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery. 18(3) |
| ISSN: | 1078-5884 |
| Popis: | Objectives: to investigate whether transcranial Doppler (TCD) monitoring can identify patients at risk of hyperperfusion, and whether active postoperative treatment of selected patients decreases the risk of intracerebral haemorrhage (ICH). Design: a case cohort study of 688 patients undergoing carotid endarterectomy (CEA) with intraoperative TCD monitoring. Methods: sixty-two patients (9%) fulfilled the TCD criteria for hyperperfusion, i.e. >100% increase of peak blood flow velocity or pulsatility index of the middle cerebral artery, compared to preclamp baseline values. In these patients, blood pressure was closely monitored and controlled postoperatively. Results: postoperatively, seven of these patients (11%) exhibited clinical signs or symptoms of hyperperfusion but no cerebral haemorrhage (ICH). This is a significantly better outcome (p |
| Databáze: | OpenAIRE |
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