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Transcranial Doppler Intraoperative Monitoring during Carotid Endarterectomy: Experience with Regional or General Anesthesia, with and without Shunting

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Annals of Vascular Surgery

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= 0.05). There was no significant difference when particulate and air microemboli were compared. During surgery TCD identified residual flow of less than 40% in the MCA in 17 patients (18.8%). TCD also identified hyperperfusion in two patients, shunt abnormalities in three patients, and influenced postop treatment in four patients, one of whom was returned to surgery. TCD is an important tool for identifying patients who would benefit from a shunt, preventing hyperperfusion, identifying postop emboli, and detecting technical errors.

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Authors and Affiliations

  1. Hope Heart Institute, the Providence Medical Center, Seattle, WA, US

    Rafik Ghali, Ettore G. Palazzo, Dirk I. Rodriguez, Michael Zammit, Dennis L. Loudenback, R. Patrick DeMuth, Merrill P. Spencer & Lester R. Sauvage

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  1. Rafik Ghali
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  2. Ettore G. Palazzo
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  3. Dirk I. Rodriguez
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  4. Michael Zammit
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  5. Dennis L. Loudenback
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  6. R. Patrick DeMuth
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  7. Merrill P. Spencer
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  8. Lester R. Sauvage
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Ghali, R., Palazzo, E., Rodriguez, D. et al. Transcranial Doppler Intraoperative Monitoring during Carotid Endarterectomy: Experience with Regional or General Anesthesia, with and without Shunting . International Journal of Vascular Surgery 11, 9–13 (1997). https://doi.org/10.1007/s100169900003

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  • DOI: https://doi.org/10.1007/s100169900003

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