Intraoperative neurophysiological monitoring during urgent surgical extracranial internal carotid artery recanalization
The result's identifiers
Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F60076658%3A12110%2F22%3A43904995" target="_blank" >RIV/60076658:12110/22:43904995 - isvavai.cz</a>
Alternative codes found
RIV/00216208:11110/22:10445108 RIV/00216208:11140/22:10445108 RIV/61383082:_____/22:00001262
Result on the web
<a href="https://reader.elsevier.com/reader/sd/pii/S1388245722001626?token=D1667A473D9966A3E4656120C22E68A57917BA59E9F232CD40883F05900D4AFE05199BA117090632CD674F56327FF490&originRegion=eu-west-1&originCreation=20230124073608" target="_blank" >https://reader.elsevier.com/reader/sd/pii/S1388245722001626?token=D1667A473D9966A3E4656120C22E68A57917BA59E9F232CD40883F05900D4AFE05199BA117090632CD674F56327FF490&originRegion=eu-west-1&originCreation=20230124073608</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.1016/j.clinph.2022.01.135" target="_blank" >10.1016/j.clinph.2022.01.135</a>
Alternative languages
Result language
angličtina
Original language name
Intraoperative neurophysiological monitoring during urgent surgical extracranial internal carotid artery recanalization
Original language description
Objective: The clinical outcome of surgical extracranial internal carotid artery (eICA) recanalization may be adversely affected by intraoperative ischemia. Median nerve somatosensory evoked potential (SEP) amplitude correlates well with cerebral blood flow. Our study presents the value of intraoperative SEP and selective shunting in the prevention of intraop-erative ischemia development during urgent eICA recanalization.Methods: Prospective recruitment of patients with acute unilateral eICA occlusion. All underwent surgi -cal recanalization with intraoperative monitoring of scalp median SEPs. Preoperative clinical findings, cerebral collaterals, and 3 month functional outcome were evaluated.Results: The cohort consisted of 33 patients. Intraoperative SEP amplitude decreased significantly in 6 (18.2%). An intraluminal shunt was inserted twice (6.1%), surgical complications occurred in 6 (18.2%), intracerebral hemorrhage was not found.Favorable outcome 3 months after surgery according to the modified Rankin scale (mRS 0-2) was achieved in 28 (84.8%), 3 patients died (9.1%). Conclusions: Intraoperative SEP during urgent eICA recanalization seems to be beneficial.Thanks to the effective measure based on the intraoperative SEP changes, the clinical outcome in four (12.1%) could be positively affected.Significance: The results suggest that selective shunting based on intraoperative median SEPs may prevent intraoperative ischemia and may improve overall outcome of urgent eICA recanalization.(c) 2022 International Federation of Clinical Neurophysiology. Published by Elsevier B.V. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
Czech name
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Czech description
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Classification
Type
J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database
CEP classification
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OECD FORD branch
30103 - Neurosciences (including psychophysiology)
Result continuities
Project
Result was created during the realization of more than one project. More information in the Projects tab.
Continuities
P - Projekt vyzkumu a vyvoje financovany z verejnych zdroju (s odkazem do CEP)
Others
Publication year
2022
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Data specific for result type
Name of the periodical
Clinical Neurophysiology
ISSN
1388-2457
e-ISSN
1872-8952
Volume of the periodical
138
Issue of the periodical within the volume
Jun 2022
Country of publishing house
IE - IRELAND
Number of pages
10
Pages from-to
221-230
UT code for WoS article
000806781000007
EID of the result in the Scopus database
2-s2.0-85125474293