Advertisement

SEP Monitoring During Carotid Surgery

  • G. De Scisciolo
  • A. Amantini
  • O. Ronchi
  • M. Bartelli
  • A. Peduto
  • C. Paci
  • C. Pratesi
  • A. Alessi
  • F. Pinto
Chapter

Abstract

In carotid endarterectomy (CEA) carotid arteries need to be clamped for reconstructive surgery. Monitoring methods available for determining the adequacy of collateral blood flow include continuous EEG recording12, 14, determination of stump pressure8, measurements of regional cerebral blood flow (CBF)17 and the assessment of neurological function with regional anesthesia in the conscious patient9.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Astrup J, Symon L, Branston NM, Lassen NA (1977) Cortical evoked potential and extracellular K+ and H+ at critical levels of brain ischemia. Stroke 8: 51–57PubMedCrossRefGoogle Scholar
  2. 2.
    Branston NM, Symon L, Crockard HA, Pasztor F (1974) Relationship between the cortical evoked potential and local cortical blood flow following acute middle cerebral artery occlusion in the baboon. Exp Neurol 45: 195208Google Scholar
  3. 3.
    Branston NM, Strong AJ, Symon L (1977) Extracellular potassium activity, evoked potential and tissue blood flow. J Neurol Sci 32: 305–328PubMedCrossRefGoogle Scholar
  4. 4.
    Desmedt JE, Cheron G (1980) Central somatosensory conduction in man: neural generator and interpeak latencies of the far-field components recorded from neck and right or left scalp and earlobes. Electroencephalogr Clin Neurophysiol 50: 382–403PubMedCrossRefGoogle Scholar
  5. 5.
    Ducati A, Fava F, Landi A, Cenzato M, Bortoloni R, Trazzi R, Villani R (1985) SEPs and EEG monitoring during carotid endarterectomy. Electroencephalogr Clin Neurophysiol 61: 526–527CrossRefGoogle Scholar
  6. 6.
    Hays RJ, Levinson SA, Wylie EJ (1972) Intraoperative measurement of carotid back pressure as a guide to operative management for carotid endoarteriectomy. Surgery 72: 953–960PubMedGoogle Scholar
  7. 7.
    Hobson RW, Wright LB, Sublett JW et al (1974) Carotid artery back pressure and arterectomy under regional anaesthesia. Arch Surg 109: 682–686PubMedCrossRefGoogle Scholar
  8. 8.
    Hunter GC, Sieffert G, Malone JM, Moore WS (1982) The accuracy of carotid back pressure as an index for shunt requirements. Stroke 13: 319–326PubMedCrossRefGoogle Scholar
  9. 9.
    Markand ON, Dilley RS, Moorthy JS, Warren CJ (1984) Monitoring of somatosensory evoked responses during carotid endoarteriectomy. Arch Neurol 41: 375–378PubMedCrossRefGoogle Scholar
  10. 10.
    Mauguière F, Desmedt JE, Courjon J (1983) Astereognosis and dissociated loss of frontal or parietal components of somatosensory evoked potentials in hemispheric lesions. Brain 106: 271–311PubMedCrossRefGoogle Scholar
  11. 11.
    Meyer RL, Dempsey RJ, Roy MW, Donaldson DL (1985) Somatosensory evoked potentials as a measure of experimental cerebral ischemia. J Neurosurg 62: 269–275PubMedCrossRefGoogle Scholar
  12. 12.
    Mola N, Collice M, Levati A (1986) Continuous intraoperative electroencephalographic monitoring in carotid endarterectomy. Eur Neurol 25: 53–60PubMedCrossRefGoogle Scholar
  13. 13.
    Ropper AH (1986) Evoked potentials in cerebral ischemia. Stroke 1: 3–5CrossRefGoogle Scholar
  14. 14.
    Sharbrough FW, Messic FW, Messick JM, Sundt TM Jr (1974) Correlation of continuous electroencephalograms with cerebral blood flow measurement during carotid endarterectomy. Stroke 4: 674–683CrossRefGoogle Scholar
  15. 15.
    Symon L, Wang AD, Costa e Silva IE, Gentili F (1984) Perioperative use of somatosensory evoked responses in aneurysm surgery. J Neurosurg 60: 269275Google Scholar
  16. 16.
    Symon L, Wang J, Rosenstein J, Branston N, Tsutsui T (1985) Effect of brain ischemia on electrical activity in man. J Cereb Blood Flow Metab 5 [Suppl] 1: 837–838Google Scholar
  17. 17.
    Sundt TM Jr, Sharbrough FW, Pieppgras DG, Kearns TP, Messic JM Jr, O’Fallow W (1981) Correlation of cerebral blood flow and electroencephalographic changes during carotid endarterectomy. Mayo Clin Proc 56: 533–543PubMedGoogle Scholar

Copyright information

© Springer-Verlag Wien 1988

Authors and Affiliations

  • G. De Scisciolo
    • 1
  • A. Amantini
    • 1
  • O. Ronchi
    • 1
  • M. Bartelli
  • A. Peduto
    • 2
  • C. Paci
    • 2
  • C. Pratesi
    • 3
  • A. Alessi
    • 3
  • F. Pinto
    • 1
  1. 1.Institute of NeurologyUniversity of FlorenceItaly
  2. 2.Department of Anesthesiology and Intensive CareUniversity of FlorenceItaly
  3. 3.Institute of Vascular SurgeryUniversity of FlorenceItaly

Personalised recommendations