Evaluation of the brain hemodynamic response by means of near-infrared spectroscopy (NIRS) monitoring in patients with atherosclerotic carotid disease undergoing endarterectomy.
carotid artery disease
carotid endarterectomy
carotid stenosis
near-infrared spectroscopy
Journal
Jornal vascular brasileiro
ISSN: 1677-7301
Titre abrégé: J Vasc Bras
Pays: Brazil
ID NLM: 101262256
Informations de publication
Date de publication:
06 Mar 2020
06 Mar 2020
Historique:
entrez:
28
6
2021
pubmed:
6
3
2020
medline:
6
3
2020
Statut:
epublish
Résumé
Near-infrared spectroscopy (NIRS) is non-invasive technique that detects hemodynamic alterations in tissues. It enables continuous monitoring of intracerebral vascular physiologic information. Due to its portable nature, NIRS may be used bedside or in the operating room. To evaluate use of NIRS for intraoperative monitoring of the brain hemodynamic response, during carotid endarterectomy. 10 patients with atherosclerotic carotid disease scheduled for endarterectomy were evaluated. After patients had been selected, they answered a questionnaire on epidemiological data and information about comorbidities and then carotid disease was confirmed with diagnostic methods. NRIS monitoring was used during the surgical procedure. The variables analyzed before, during and after carotid clamping were oxygen saturation (SatO The results obtained from NIRS show that RHb and SatO During carotid endarterectomy, NIRS is a feasible, real-time, and non-invasive intracranial monitoring method that accurately and reliably measures the changes in intracerebral capillary hemodynamic conditions.
Sections du résumé
BACKGROUNDS
BACKGROUND
Near-infrared spectroscopy (NIRS) is non-invasive technique that detects hemodynamic alterations in tissues. It enables continuous monitoring of intracerebral vascular physiologic information. Due to its portable nature, NIRS may be used bedside or in the operating room.
OBJECTIVES
OBJECTIVE
To evaluate use of NIRS for intraoperative monitoring of the brain hemodynamic response, during carotid endarterectomy.
METHODS
METHODS
10 patients with atherosclerotic carotid disease scheduled for endarterectomy were evaluated. After patients had been selected, they answered a questionnaire on epidemiological data and information about comorbidities and then carotid disease was confirmed with diagnostic methods. NRIS monitoring was used during the surgical procedure. The variables analyzed before, during and after carotid clamping were oxygen saturation (SatO
RESULTS
RESULTS
The results obtained from NIRS show that RHb and SatO
CONCLUSIONS
CONCLUSIONS
During carotid endarterectomy, NIRS is a feasible, real-time, and non-invasive intracranial monitoring method that accurately and reliably measures the changes in intracerebral capillary hemodynamic conditions.
Identifiants
pubmed: 34178049
doi: 10.1590/1677-5449.190027
pii: jvbAO20190027_PT
pmc: PMC8205114
doi:
Types de publication
Journal Article
Langues
eng
Pagination
e20190027Déclaration de conflit d'intérêts
Conflicts of interest: No conflicts of interest declared concerning the publication of this article.
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