The utility of adjunctive electroencephalography while performing transcarotid artery revascularization

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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Bibliographic Details
Main Authors: Drew J. Braet, BS, Naveen Balasundaram, MD, Tiffany S. Meller, AHCNS, Jonathan Bath, MD, Todd R. Vogel, MD, MPH
Format: Article
Language:English
Published: Elsevier 2019-12-01
Series:Journal of Vascular Surgery Cases and Innovative Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2468428719301297
Description
Summary: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. Keywords: Transcarotid artery revascularization, Electroencephalogram, Neuroprotection
ISSN:2468-4287

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