Intraoperative monitoring of carotid endarterectomy by transcranial motor evoked potential: A multicenter study of 600 patients

Intraoperative monitoring of carotid endarterectomy by transcranial motor evoked potential: A multicenter study of 600 patients

Highlights ► The feasibility of monitoring transcranial electrical motor evoked potentials (tcMEP) was proved in the intraoperative setting of carotid endarterectomy (CEA). ► TcMEP monitoring of the upper extremities was shown to be useful to detect “false negative” mSSEPs results with regard to cer...

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Veröffentlicht in:Clinical neurophysiology 2013-05, Vol.124 (5), p.1025-1030
Hauptverfasser: Malcharek, M.J, Ulkatan, S, Marinò, V, Geyer, M, LLadó-Carbó, E, Perez-Fajardo, G, Arranz-Arranz, B, Climent, J, Aloj, F, Franco, E, Chiacchiari, L, Kulpok, A, Sablotzki, A, Hennig, G, Deletis, V
Format: Artikel
Sprache:eng
Schlagworte:
Adult
Aged
Aged, 80 and over
Anesthesia, General - methods
Brain Ischemia - surgery
Carotid Artery, Internal - physiopathology
Carotid endarterectomy
Endarterectomy, Carotid - methods
Evoked Potentials, Motor - physiology
Evoked Potentials, Somatosensory - physiology
Female
Humans
Intraoperative neurophysiological monitoring
Male
Middle Aged
Monitoring, Intraoperative - methods
Motor evoked potentials
Neurology
Postoperative stroke
Retrospective Studies
Somatosensory evoked potentials
Symptomatic carotid stenosis
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Beschreibung
Zusammenfassung:Highlights ► The feasibility of monitoring transcranial electrical motor evoked potentials (tcMEP) was proved in the intraoperative setting of carotid endarterectomy (CEA). ► TcMEP monitoring of the upper extremities was shown to be useful to detect “false negative” mSSEPs results with regard to cerebral ischemia during carotid artery (CA) cross clamping. ► The timely correction of significant tcMEP changes during CA cross clamping was found to be important with view to postoperative outcome of motor function.
ISSN:1388-2457
1872-8952
DOI:10.1016/j.clinph.2012.10.014