The Value of Near-Infrared Spectroscopy Measured Cerebral Oximetry During Carotid Endarterectomy in Perioperative Stroke Prevention. A Review

医学 颈动脉内膜切除术 脑缺血 围手术期 前瞻性队列研究 内科学 心脏病学 缺血 无症状的 麻醉 颈动脉
作者
C.W.A. Pennekamp,Michiel L. Bots,L. Jaap Kappelle,Frans L. Moll,Gert J. de Borst
出处
期刊:European Journal of Vascular and Endovascular Surgery [Elsevier]
卷期号:38 (5): 539-545 被引量:141
标识
DOI:10.1016/j.ejvs.2009.07.008
摘要

BackgroundTranscranial Doppler (TCD) for identification of patients at risk for cerebral hyperperfusion syndrome (CHS) following carotid endarterectomy (CEA) cannot be performed in 10–15% of patients because of the absence of a temporal bone window. Near-infrared spectroscopy (NIRS) may be of additional value in these patients. We aimed to (1) compare the value of NIRS related to existing cerebral monitoring techniques in prediction of perioperative cerebral ischaemia and (2) compare the relation between NIRS and the occurrence of CHS.MethodsA systematic literature search relating to NIRS and CEA was conducted in PubMed and EMBASE databases. Those included were: (1) prospective studies; (2) on NIRS for brain monitoring during CEA; (3) including comparison of NIRS to any other intra-operative cerebral monitoring systems; and (4) on either symptomatic or asymptomatic patients.ResultsWe identified 16 studies, of which 14 focussed on the prediction of intra-operative cerebral ischaemia and shunt indication. Only two studies discussed the ability of NIRS in predicting CHS. NIRS values correlated well with TCD and electroencephalography (EEG) values indicating ischaemia. However, a threshold for postoperative cerebral ischaemia could not be determined. Neither could a threshold for selective shunting be determined since shunting criteria varied considerably across studies. The evidence suggesting that NIRS is useful in predicting CHS is modest.ConclusionNIRS seems a promising monitoring technique in patients undergoing CEA. Yet the evidence to define clear cut-off points for the presence of perioperative cerebral ischaemia or identification of patients at high risk of CHS is limited. A large prospective cohort study addressing these issues is urgently needed.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
大幅提高文件上传限制,最高150M (2024-4-1)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
科目三应助crookshanks88采纳,获得10
刚刚
Michaelialzm发布了新的文献求助10
1秒前
你香发布了新的文献求助10
1秒前
1秒前
李浩然完成签到,获得积分10
2秒前
sui发布了新的文献求助10
2秒前
2秒前
3秒前
3秒前
大船发布了新的文献求助10
3秒前
李浩然发布了新的文献求助10
3秒前
wy完成签到,获得积分10
4秒前
4秒前
4秒前
桐桐应助li采纳,获得10
4秒前
Forizix完成签到,获得积分10
4秒前
21完成签到 ,获得积分10
5秒前
科研通AI2S应助laopei2001采纳,获得10
5秒前
滴滴哒完成签到,获得积分20
6秒前
李爱国应助zhangzhuopu采纳,获得10
6秒前
Forizix发布了新的文献求助10
6秒前
m0405完成签到,获得积分10
7秒前
7秒前
优雅小霜发布了新的文献求助10
7秒前
kaito发布了新的文献求助10
7秒前
认真的小美完成签到,获得积分20
8秒前
8秒前
hai完成签到,获得积分10
9秒前
假面绅士发布了新的文献求助10
9秒前
9秒前
11秒前
aka2012发布了新的文献求助10
11秒前
12秒前
紫色翡翠完成签到,获得积分10
12秒前
Akim应助Luis采纳,获得10
14秒前
茜茜完成签到,获得积分10
14秒前
Fayol发布了新的文献求助10
14秒前
Mia完成签到 ,获得积分10
14秒前
15秒前
假面绅士发布了新的文献求助10
16秒前
高分求助中
The ACS Guide to Scholarly Communication 2500
Sustainability in Tides Chemistry 2000
Studien zur Ideengeschichte der Gesetzgebung 1000
TM 5-855-1(Fundamentals of protective design for conventional weapons) 1000
Threaded Harmony: A Sustainable Approach to Fashion 810
Pharmacogenomics: Applications to Patient Care, Third Edition 800
Genera Insectorum: Mantodea, Fam. Mantidæ, Subfam. Hymenopodinæ (Classic Reprint) 500
热门求助领域 (近24小时)
化学 医学 生物 材料科学 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 基因 遗传学 催化作用 物理化学 免疫学 量子力学 细胞生物学
热门帖子
关注 科研通微信公众号,转发送积分 3082716
求助须知:如何正确求助?哪些是违规求助? 2736007
关于积分的说明 7539649
捐赠科研通 2385530
什么是DOI,文献DOI怎么找? 1264933
科研通“疑难数据库(出版商)”最低求助积分说明 612857
版权声明 597685