Cerebral oximetry and stump pressure as indicators for shunting during carotid endarterectomy: comparative evaluation
Φόρτωση...
Ημερομηνία
Συγγραφείς
Tambakis, C. L.
Papadopoulos, G.
Sergentanis, T. N.
Lagos, N.
Arnaoutoglou, E.
Labropoulos, N.
Matsagkas, M. I.
Τίτλος Εφημερίδας
Περιοδικό ISSN
Τίτλος τόμου
Εκδότης
Περίληψη
Τύπος
Είδος δημοσίευσης σε συνέδριο
Είδος περιοδικού
peer-reviewed
Είδος εκπαιδευτικού υλικού
Όνομα συνεδρίου
Όνομα περιοδικού
Vascular
Όνομα βιβλίου
Σειρά βιβλίου
Έκδοση βιβλίου
Συμπληρωματικός/δευτερεύων τίτλος
Περιγραφή
The purpose of this work is to investigate the correlation between regional oxygen saturation (rSO(2)) changes and stump pressure (SP) during cross-clamping of the internal carotid artery in carotid endarterectomy (CEA) and verify the perspectives of rSO(2) to become a criterion for shunting. Sixty consecutive CEAs under general anesthesia were studied prospectively. Selective shunting was based on SP </=40 mmHg exclusively. Regression analysis with high order terms and receiver operating characteristic analysis were performed to investigate the association between DeltarSO(2)(%) and SP and to determine an optimal DeltarSO(2)(%) threshold for shunt insertion. A quadratic association between DeltarSO(2)(%) and SP was documented regarding the baseline to one and five minutes after cross-clamping intervals. A cut-off of 21 and 10.1% reduction from the baseline recording was identified as optimal for the distinction between patients needed or not a shunt regarding the first and fifth minute after cross-clamping, respectively. In conclusion, cerebral oximety reflects sufficiently cerebral oxygenation during CEA compared with SP, providing a useful mean for cerebral monitoring.
Περιγραφή
Λέξεις-κλειδιά
Adult, Aged, Aged, 80 and over, Biological Markers/blood, *Blood Pressure, *Blood Pressure Determination, Carotid Artery Diseases/blood/diagnosis/physiopathology/*surgery, Carotid Artery, Internal/physiopathology/*surgery, *Cerebrovascular Circulation, Constriction, *Endarterectomy, Carotid/adverse effects, Female, Greece, Humans, Male, Middle Aged, Monitoring, Intraoperative/*methods, *Oximetry, Oxygen/*blood, Predictive Value of Tests, Prospective Studies, ROC Curve, Regression Analysis, *Spectroscopy, Near-Infrared, Treatment Outcome
Θεματική κατηγορία
Παραπομπή
Σύνδεσμος
http://www.ncbi.nlm.nih.gov/pubmed/21764845
http://vascular.rsmjournals.com/content/19/4/187
http://vascular.rsmjournals.com/content/19/4/187
Γλώσσα
en
Εκδίδον τμήμα/τομέας
Όνομα επιβλέποντος
Εξεταστική επιτροπή
Γενική Περιγραφή / Σχόλια
Ίδρυμα και Σχολή/Τμήμα του υποβάλλοντος
Πανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικής