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[Electroencephalographic surveillance during carotid endarterectomy]
Revue D'Electroencephalographie Et De Neurophysiologie Clinique
|November 1, 1982
Summary
Continuous electroencephalography (EEG) monitoring during carotid endarterectomy revealed abnormalities in 35% of patients. Cerebral disturbances can occur anytime during surgery, highlighting the value of intraoperative EEG.
Area of Science:
- Neurology
- Neurosurgery
- Anesthesiology
Context:
- Carotid endarterectomy is a surgical procedure to remove plaque from carotid arteries.
- Intraoperative monitoring is crucial for patient safety during complex surgeries.
Purpose:
- To investigate the utility of continuous electroencephalography (EEG) monitoring during carotid endarterectomy.
- To identify the incidence and timing of EEG abnormalities during this procedure.
Summary:
- Continuous EEG monitoring was performed during 110 carotid endarterectomies.
- Abnormalities were observed in 35 cases (31.8%), with 13 occurring during carotid clamping and 22 outside this period.
- EEG findings provided insights into cerebral disturbances and guided surgical decisions, such as shunt placement.
Impact:
- Intraoperative EEG monitoring enhances the understanding of cerebral disturbances during carotid endarterectomy.
- This monitoring can potentially improve postoperative outcomes by identifying and addressing neurological events in real-time.