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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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
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spelling doaj-05c6835ca4aa4e07a0d613a780f912b42020-11-25T00:27:13ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872019-12-0154456460The utility of adjunctive electroencephalography while performing transcarotid artery revascularizationDrew J. Braet, BS0Naveen Balasundaram, MD1Tiffany S. Meller, AHCNS2Jonathan Bath, MD3Todd R. Vogel, MD, MPH4Division of Vascular Surgery, Department of Surgery, University of Missouri, School of Medicine, Columbia, MoDivision of Vascular Surgery, Department of Surgery, University of Missouri, School of Medicine, Columbia, MoDivision of Vascular Surgery, Department of Surgery, University of Missouri, School of Medicine, Columbia, MoDivision of Vascular Surgery, Department of Surgery, University of Missouri, School of Medicine, Columbia, MoCorrespondence: Todd R. Vogel, MD, MPH, Department of Surgery, Division of Vascular Surgery, University of Missouri Hospital and Clinics, One Hospital Dr, Columbia, MO 65212; Division of Vascular Surgery, Department of Surgery, University of Missouri, School of Medicine, Columbia, MoTranscarotid 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, Neuroprotectionhttp://www.sciencedirect.com/science/article/pii/S2468428719301297
collection DOAJ
language English
format Article
sources DOAJ
author Drew J. Braet, BS
Naveen Balasundaram, MD
Tiffany S. Meller, AHCNS
Jonathan Bath, MD
Todd R. Vogel, MD, MPH
spellingShingle Drew J. Braet, BS
Naveen Balasundaram, MD
Tiffany S. Meller, AHCNS
Jonathan Bath, MD
Todd R. Vogel, MD, MPH
The utility of adjunctive electroencephalography while performing transcarotid artery revascularization
Journal of Vascular Surgery Cases and Innovative Techniques
author_facet Drew J. Braet, BS
Naveen Balasundaram, MD
Tiffany S. Meller, AHCNS
Jonathan Bath, MD
Todd R. Vogel, MD, MPH
author_sort Drew J. Braet, BS
title The utility of adjunctive electroencephalography while performing transcarotid artery revascularization
title_short 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_sort utility of adjunctive electroencephalography while performing transcarotid artery revascularization
publisher Elsevier
series Journal of Vascular Surgery Cases and Innovative Techniques
issn 2468-4287
publishDate 2019-12-01
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. Keywords: Transcarotid artery revascularization, Electroencephalogram, Neuroprotection
url http://www.sciencedirect.com/science/article/pii/S2468428719301297
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