CAR 2. Multimodal Neurophysiologic Monitoring Reduces Shunt Incidence During Carotid Endarterectomy

The use of a shunt during carotid surgery is controversial. Good results have been found in the literature both with routine use of a shunt and with no shunt during general anesthesia. Other studies report similar results with selective shunting with the support of cerebral monitors. Different experiences are found in the literature with transcranial Doppler (TCD), electroencephalography (EEG), stump pressure (SP), and somatosensory evoked potentials (SSEP). To the best of our knowledge, there are no controlled studies to document the relative efficacy of these techniques.

Source: Journal of Vascular Surgery - October 21, 2019 Category: Surgery Authors: Marco Leopardi, Aldo Musilli, Annamaria Maggipinto, Marco Ventura Source Type: research