Abstract
The aim of this study was to establish whether a preoperative evaluation of cerebral haemodynamic reserve, carried out by means of transcranial Doppler and single photoemission computed tomography with a provocative test (acetazolamide) is able to select those patients who require carotid shunting to avoid cerebral ischaemia during clamping. All patients were monitored during operation by means of somatosensitive evoked potentials. Those patients who required shunting because of abnormal evoked potentials were also those who had a poor cerebral reserve with a perfusion and velocity increase below 15%. Only one neurological deficit developed in patients who were not shunted.
| Original language | English |
|---|---|
| Pages (from-to) | 32-36 |
| Number of pages | 5 |
| Journal | Cardiovascular Surgery |
| Volume | 2 |
| Issue number | 1 |
| Publication status | Published - Feb 1994 |
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Keywords
- cerebral reserve
- single photoemission computed tomography
- somatosensitive evoked potentials
- transcranial Doppler
ASJC Scopus subject areas
- Surgery
- Radiology Nuclear Medicine and imaging
- Cardiology and Cardiovascular Medicine
Cite this
Cerebral reserve and indications for shunting in carotid surgery. / Palombo, D.; Porta, C.; Peinetti, F.; Brustia, P.; Udini, M.; Antico, A.; Cantalupi, D.; Varetto, T.
In: Cardiovascular Surgery, Vol. 2, No. 1, 02.1994, p. 32-36.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Cerebral reserve and indications for shunting in carotid surgery
AU - Palombo, D.
AU - Porta, C.
AU - Peinetti, F.
AU - Brustia, P.
AU - Udini, M.
AU - Antico, A.
AU - Cantalupi, D.
AU - Varetto, T.
PY - 1994/2
Y1 - 1994/2
N2 - The aim of this study was to establish whether a preoperative evaluation of cerebral haemodynamic reserve, carried out by means of transcranial Doppler and single photoemission computed tomography with a provocative test (acetazolamide) is able to select those patients who require carotid shunting to avoid cerebral ischaemia during clamping. All patients were monitored during operation by means of somatosensitive evoked potentials. Those patients who required shunting because of abnormal evoked potentials were also those who had a poor cerebral reserve with a perfusion and velocity increase below 15%. Only one neurological deficit developed in patients who were not shunted.
AB - The aim of this study was to establish whether a preoperative evaluation of cerebral haemodynamic reserve, carried out by means of transcranial Doppler and single photoemission computed tomography with a provocative test (acetazolamide) is able to select those patients who require carotid shunting to avoid cerebral ischaemia during clamping. All patients were monitored during operation by means of somatosensitive evoked potentials. Those patients who required shunting because of abnormal evoked potentials were also those who had a poor cerebral reserve with a perfusion and velocity increase below 15%. Only one neurological deficit developed in patients who were not shunted.
KW - cerebral reserve
KW - single photoemission computed tomography
KW - somatosensitive evoked potentials
KW - transcranial Doppler
UR - http://www.scopus.com/inward/record.url?scp=0028212317&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0028212317&partnerID=8YFLogxK
M3 - Article
C2 - 7914143
AN - SCOPUS:0028212317
VL - 2
SP - 32
EP - 36
JO - Cardiovascular Surgery
JF - Cardiovascular Surgery
SN - 0967-2109
IS - 1
ER -