지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.92 No.2
- 발행연도
- 2017.2
- 수록면
- 105 - 109 (5page)
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초록· 키워드
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Purpose: To evaluate the efficacy and safety of cerebral monitoring by transcranial Doppler ultrasonography (TCD) for the detection of cerebral ischemia during carotid endarterectomy (CEA).
Methods: From August 2004 to December 2013, 159 CEAs were performed in a tertiary hospital. All procedures were performed under general anesthesia. Intraoperative TCD was routinely used to detect cerebral ischemia. Of the 159 patients, 102 patients were included in this study, excluding 27 patients who had a poor transtemporal isonation window and 30 patients who used additional cerebral monitoring systems such as electroencephalography or somatosensory evoked potentials. When mean flow velocity in the ipsilateral middle cerebral artery decreased by >50% versus baseline during carotid clamping carotid shunting was selectively performed. The carotid shunt rate and incidence of perioperative (<30 days) stroke or death were investigated by reviewing medical records.
Results: Carotid shunting was performed in 31 of the 102 patients (30%). Perioperative stroke occurred in 2 patients (2%);a minor ischemic stroke caused by embolism in one and an intracerebral hemorrhage in the other. Perioperative death developed in the latter patient.
Conclusion: TCD is a safe cerebral monitoring tool to detect cerebral ischemia during CEA. It can reduce use of carotid shunt.
Methods: From August 2004 to December 2013, 159 CEAs were performed in a tertiary hospital. All procedures were performed under general anesthesia. Intraoperative TCD was routinely used to detect cerebral ischemia. Of the 159 patients, 102 patients were included in this study, excluding 27 patients who had a poor transtemporal isonation window and 30 patients who used additional cerebral monitoring systems such as electroencephalography or somatosensory evoked potentials. When mean flow velocity in the ipsilateral middle cerebral artery decreased by >50% versus baseline during carotid clamping carotid shunting was selectively performed. The carotid shunt rate and incidence of perioperative (<30 days) stroke or death were investigated by reviewing medical records.
Results: Carotid shunting was performed in 31 of the 102 patients (30%). Perioperative stroke occurred in 2 patients (2%);a minor ischemic stroke caused by embolism in one and an intracerebral hemorrhage in the other. Perioperative death developed in the latter patient.
Conclusion: TCD is a safe cerebral monitoring tool to detect cerebral ischemia during CEA. It can reduce use of carotid shunt.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
ACKNOWLEDGEMENTS
REFERENCES
참고문헌 (22)
참고문헌 신청
[학술지(정기간행물)] - North American Symptomatic Carotid Endarterectomy Trial Collaborators. / 1991 / Beneficial effect of carotid endarterectomy in symptomatic patients with high-grade carotid stenosis / N Engl J Med 325 : 445 ~ 453
[학술지(정기간행물)] - Endarterectomy for asymptomatic carotid artery stenosis. / 1995 / Executive Committee for the Asymptomatic Carotid Atherosclerosis Study / JAMA 273 : 1421 ~ 1428
[학술지(정기간행물)] - Barnett HJ / 1998 / Benefit of carotid endarterectomy in patients with symptomatic moderate or severe stenosis / N Engl J Med 339 : 1415 ~ 1425
[학술지(정기간행물)] - / 1998 / Randomised trial of endarterectomy for recently symptomatic carotid stenosis:final results of the MRC European Carotid Surgery Trial (ECST) / Lancet 351 : 1379 ~ 1387
[학술지(정기간행물)] - Halliday A / 2004 / Prevention of disabling and fatal strokes by successful carotid endarterectomy in patients without recent neurological symptoms : randomised controlled trial / Lancet 363 : 1491 ~ 1502
[학술지(정기간행물)] - Endarterectomy for asymptomatic carotid artery stenosis. / 1995 / Executive Committee for the Asymptomatic Carotid Atherosclerosis Study / JAMA 273 : 1421 ~ 1428
[학술지(정기간행물)] - Barnett HJ / 1998 / Benefit of carotid endarterectomy in patients with symptomatic moderate or severe stenosis / N Engl J Med 339 : 1415 ~ 1425
[학술지(정기간행물)] - / 1998 / Randomised trial of endarterectomy for recently symptomatic carotid stenosis:final results of the MRC European Carotid Surgery Trial (ECST) / Lancet 351 : 1379 ~ 1387
[학술지(정기간행물)] - Halliday A / 2004 / Prevention of disabling and fatal strokes by successful carotid endarterectomy in patients without recent neurological symptoms : randomised controlled trial / Lancet 363 : 1491 ~ 1502
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UCI(KEPA) : I410-ECN-0101-2017-514-002372290