The utility of adjunctive electroencephalography while performing transcarotid artery revascularization

Transcarotid artery revascularization (TCAR) has been used as an alternative to carotid endarterectomy and transfemoral carotid artery stenting. Although TCAR has been associated with a decrease in perioperative strokes compared with transfemoral carotid artery stenting, little is known about the sa...

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Detalles Bibliográficos
Autores principales: Braet, Drew J., Balasundaram, Naveen, Meller, Tiffany S., Bath, Jonathan, Vogel, Todd R.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2019
Materias:
Transcarotid artery stenting
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6848990/
https://www.ncbi.nlm.nih.gov/pubmed/31737803
http://dx.doi.org/10.1016/j.jvscit.2019.09.008
Descripción
Sumario:Transcarotid artery revascularization (TCAR) has been used as an alternative to carotid endarterectomy and transfemoral carotid artery stenting. Although TCAR has been associated with a decrease in perioperative strokes compared with transfemoral carotid artery stenting, little is known about the safety of cerebral blood during flow reversal or the value of adjunctive electroencephalography (EEG) monitoring in performing TCAR. We describe two cases of EEG changes in patients undergoing TCAR. These cases highlight the use of adjunctive EEG and provide examples of test clamping to assess for compromised collateral cerebral blood flow in patients undergoing TCAR.

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