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Cerebral pulse oximetry in carotid endarterectomy: an impact study
Mehmet Ali Yürük1, Aşkın Kılıç2, Ufuk Sayar3
1Karadeniz Technical University, Faculty of Medicine, Department of Cardiovascular Surgery - Trabzon, Turkey.
Objective:
The aim of this study was to evaluate the effectiveness of cerebral pulse oximetry in improving early results (30 days) of surgical outcomes and patient safety during carotid endarterectomy, focusing on its role in guiding selective shunt use and reducing procedure-related complications.
Methods:
A retrospective review was conducted on 179 patients who underwent carotid endarterectomy at a cardiovascular surgery clinic (2010-2020). The study emphasized adherence to ethical standards, rigorous data analysis, and stringent participant inclusion criteria and evaluated the impact of cerebral pulse oximetry on surgical outcomes.
Results:
Cerebral pulse oximetry significantly influenced intraoperative decisions. Mean total operative time and cross-clamp duration were significantly reduced in the group cerebral pulse oximetry (66.96±8.21 vs. 57.41±7.24 min and 28.68±4.20 vs. 18.63±3.91 min, respectively). Routine shunt placement was also lower in this group, with usage reported in only 0.9 vs. 47.2%.
Conclusion:
Cerebral pulse oximetry during carotid endarterectomy may reduce the necessity for routine shunt placement, minimizing associated risks and enhancing operative efficiency.
