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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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
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author Braet, Drew J.
Balasundaram, Naveen
Meller, Tiffany S.
Bath, Jonathan
Vogel, Todd R.
author_facet Braet, Drew J.
Balasundaram, Naveen
Meller, Tiffany S.
Bath, Jonathan
Vogel, Todd R.
author_sort Braet, Drew J.
collection PubMed
description 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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spelling pubmed-68489902019-11-15 The utility of adjunctive electroencephalography while performing transcarotid artery revascularization Braet, Drew J. Balasundaram, Naveen Meller, Tiffany S. Bath, Jonathan Vogel, Todd R. J Vasc Surg Cases Innov Tech Transcarotid artery stenting 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. Elsevier 2019-11-09 /pmc/articles/PMC6848990/ /pubmed/31737803 http://dx.doi.org/10.1016/j.jvscit.2019.09.008 Text en © 2019 The Author(s) http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Transcarotid artery stenting
Braet, Drew J.
Balasundaram, Naveen
Meller, Tiffany S.
Bath, Jonathan
Vogel, Todd R.
The utility of adjunctive electroencephalography while performing transcarotid artery revascularization
title The utility of adjunctive electroencephalography while performing transcarotid artery revascularization
title_full The utility of adjunctive electroencephalography while performing transcarotid artery revascularization
title_fullStr The utility of adjunctive electroencephalography while performing transcarotid artery revascularization
title_full_unstemmed The utility of adjunctive electroencephalography while performing transcarotid artery revascularization
title_short The utility of adjunctive electroencephalography while performing transcarotid artery revascularization
title_sort utility of adjunctive electroencephalography while performing transcarotid artery revascularization
topic Transcarotid artery stenting
url 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
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