4.6

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2.2

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  • ISSN 1674-8301
  • CN 32-1810/R
Jian Li, Ahmed Shalabi, Fuhai Ji, Lingzhong Meng. Monitoring cerebral ischemia during carotid endarterectomy and stenting[J]. The Journal of Biomedical Research, 2017, 31(1): 11-16. DOI: 10.7555/JBR.31.20150171
Citation: Jian Li, Ahmed Shalabi, Fuhai Ji, Lingzhong Meng. Monitoring cerebral ischemia during carotid endarterectomy and stenting[J]. The Journal of Biomedical Research, 2017, 31(1): 11-16. DOI: 10.7555/JBR.31.20150171

Monitoring cerebral ischemia during carotid endarterectomy and stenting

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This work was supported by the Inaugural Anesthesia Department Awards for Seed Funding for ClinicallyOriented Research Projects from the Department of Anesthesia and Perioperative Care, University of California San Francisco, San Francisco, California(to Dr. Meng) and the National Natural Science Foundation of China (81471835, 81471889, to Dr.Ji). We thank the International Chinese Academy of Anesthesiology (ICAA) for providing resources for our collaborations.

More Information
  • Received Date: December 19, 2015
  • Current therapy for carotid stenosis mainly includes carotid endarterectomy and endovascular stenting, which may incur procedure-related cerebral ischemia. Several methods have been employed for monitoring cerebral ischemia during surgery, such as awake neurocognitive assessment, electroencephalography, evoked potentials,transcranial Doppler, carotid stump pressure, and near infrared spectroscopy. However, there is no consensus on the gold standard or the method that is superior to others at present. Keeping patient awake for real time neurocognitive assessment is effective and essential; however, not every surgeon adopts it. In patients under general anesthesia,cerebral ischemia monitoring has to rely on non-awake technologies. The advantageous and disadvantageous properties of each monitoring method are reviewed.
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