The value of intraoperative EEG monitoring during carotid endarterectomy
Since controversy continues concerning the value of routine electroencephalographic (EEG) monitoring and selective carotid bypass shunting, we reviewed the neurological morbidity and mortality following elective carotid endarterectomy in 172 patients with symptomatic carotid occlusive disease. The u...
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Veröffentlicht in: | Annals of neurology 1986-10, Vol.20 (4), p.508-512 |
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creator | Cho, I. Smullens, S. N. Streletz, L. J. Fariello, R. G. |
description | Since controversy continues concerning the value of routine electroencephalographic (EEG) monitoring and selective carotid bypass shunting, we reviewed the neurological morbidity and mortality following elective carotid endarterectomy in 172 patients with symptomatic carotid occlusive disease. The use of EEG monitoring and selective shunting was associated with a reduction in the frequency of carotid shunts (49 to 12%) and a decline in combined major neurological morbidity and mortality (2.3 to 1.1%). We conclude that the routine use of intraoperative EEG monitoring is a valuable procedure, particularly in patients at high risk for perioperative neurological complications. |
doi_str_mv | 10.1002/ana.410200411 |
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We conclude that the routine use of intraoperative EEG monitoring is a valuable procedure, particularly in patients at high risk for perioperative neurological complications.</description><identifier>ISSN: 0364-5134</identifier><identifier>EISSN: 1531-8249</identifier><identifier>DOI: 10.1002/ana.410200411</identifier><identifier>PMID: 3789666</identifier><language>eng</language><publisher>Hoboken: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>Aged ; Arterial Occlusive Diseases - surgery ; Brain Ischemia - prevention & control ; Carotid Artery Diseases - surgery ; Electroencephalography ; Endarterectomy ; Female ; Humans ; Intracranial Embolism and Thrombosis - prevention & control ; Intraoperative Complications - prevention & control ; Intraoperative Period ; Male ; Middle Aged ; Monitoring, Physiologic ; Postoperative Complications - prevention & control</subject><ispartof>Annals of neurology, 1986-10, Vol.20 (4), p.508-512</ispartof><rights>Copyright © 1986 American Neurological Association</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3741-38ffdf3c3100e123992e7222b27d4a8b1e38848d49bf33284d54a307ae512eaf3</citedby><cites>FETCH-LOGICAL-c3741-38ffdf3c3100e123992e7222b27d4a8b1e38848d49bf33284d54a307ae512eaf3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fana.410200411$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fana.410200411$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/3789666$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cho, I.</creatorcontrib><creatorcontrib>Smullens, S. 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We conclude that the routine use of intraoperative EEG monitoring is a valuable procedure, particularly in patients at high risk for perioperative neurological complications.</description><subject>Aged</subject><subject>Arterial Occlusive Diseases - surgery</subject><subject>Brain Ischemia - prevention & control</subject><subject>Carotid Artery Diseases - surgery</subject><subject>Electroencephalography</subject><subject>Endarterectomy</subject><subject>Female</subject><subject>Humans</subject><subject>Intracranial Embolism and Thrombosis - prevention & control</subject><subject>Intraoperative Complications - prevention & control</subject><subject>Intraoperative Period</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Monitoring, Physiologic</subject><subject>Postoperative Complications - prevention & control</subject><issn>0364-5134</issn><issn>1531-8249</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1986</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kD1PwzAURS0EKqUwMiJlYkvxV2JnrFBpEVVRpaKyWU7yAoYkLnZS6L8n0KpiYrrDPe_o6SJ0SfCQYExvdK2HnGCKMSfkCPVJxEgoKU-OUR-zmIcRYfwUnXn_hjFOYoJ7qMeETOI47qPp8hWCjS5bCGwRmLpx2q7B6cZsIBiPJ0Fla9NYZ-qXIG9_I9PONiYPoM61a8BB1thqe45OCl16uNjnAD3djZe303D2OLm_Hc3CjAlOQiaLIi9YxrrfgVCWJBQEpTSlIudapgSYlFzmPEkLxqjkecQ1w0JDRCjogg3Q9c67dvajBd-oyvgMylLXYFuvhKBYUJl0YLgDM2e9d1CotTOVdltFsPpZTnXLqcNyHX-1F7dpBfmB3k_V9WLXf5oStv_L1Gg--mvef2J8A1-HS-3eVSyYiNRqPlGL51X0IOhCLdg3E8OIEg</recordid><startdate>198610</startdate><enddate>198610</enddate><creator>Cho, I.</creator><creator>Smullens, S. 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N.</creatorcontrib><creatorcontrib>Streletz, L. J.</creatorcontrib><creatorcontrib>Fariello, R. G.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Annals of neurology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cho, I.</au><au>Smullens, S. N.</au><au>Streletz, L. J.</au><au>Fariello, R. G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The value of intraoperative EEG monitoring during carotid endarterectomy</atitle><jtitle>Annals of neurology</jtitle><addtitle>Ann Neurol</addtitle><date>1986-10</date><risdate>1986</risdate><volume>20</volume><issue>4</issue><spage>508</spage><epage>512</epage><pages>508-512</pages><issn>0364-5134</issn><eissn>1531-8249</eissn><abstract>Since controversy continues concerning the value of routine electroencephalographic (EEG) monitoring and selective carotid bypass shunting, we reviewed the neurological morbidity and mortality following elective carotid endarterectomy in 172 patients with symptomatic carotid occlusive disease. The use of EEG monitoring and selective shunting was associated with a reduction in the frequency of carotid shunts (49 to 12%) and a decline in combined major neurological morbidity and mortality (2.3 to 1.1%). We conclude that the routine use of intraoperative EEG monitoring is a valuable procedure, particularly in patients at high risk for perioperative neurological complications.</abstract><cop>Hoboken</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>3789666</pmid><doi>10.1002/ana.410200411</doi><tpages>5</tpages></addata></record> |
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subjects | Aged Arterial Occlusive Diseases - surgery Brain Ischemia - prevention & control Carotid Artery Diseases - surgery Electroencephalography Endarterectomy Female Humans Intracranial Embolism and Thrombosis - prevention & control Intraoperative Complications - prevention & control Intraoperative Period Male Middle Aged Monitoring, Physiologic Postoperative Complications - prevention & control |
title | The value of intraoperative EEG monitoring during carotid endarterectomy |
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