Intraoperative neurophysiological monitoring during urgent surgical extracranial internal carotid artery recanalization

Kód výsledku v 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>

Nalezeny alternativní kódy

RIV/00216208:11110/22:10445108 RIV/00216208:11140/22:10445108 RIV/61383082:_____/22:00001262

Výsledek na webu

<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>

Jazyk výsledku

angličtina

Název v původním jazyce

Intraoperative neurophysiological monitoring during urgent surgical extracranial internal carotid artery recanalization

Popis výsledku v původním jazyce

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/).

Název v anglickém jazyce

Intraoperative neurophysiological monitoring during urgent surgical extracranial internal carotid artery recanalization

Popis výsledku anglicky

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/).

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30103 - Neurosciences (including psychophysiology)

Projekt

Výsledek vznikl pri realizaci vícero projektů. Více informací v záložce Projekty.

Návaznosti

P - Projekt vyzkumu a vyvoje financovany z verejnych zdroju (s odkazem do CEP)

Rok uplatnění

2022

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

Clinical Neurophysiology

ISSN

1388-2457

e-ISSN

1872-8952

Svazek periodika

138

Číslo periodika v rámci svazku

Jun 2022

Stát vydavatele periodika

IE - Irsko

Počet stran výsledku

10

Strana od-do

221-230

Kód UT WoS článku

000806781000007

EID výsledku v databázi Scopus

2-s2.0-85125474293