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Usefulness of near-infrared spectroscopy in thrombectomy monitoring

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Abstract

Monitoring recanalization and reperfusion during acute ischemic stroke is a challenge for therapeutic assessment. Near-infrared spectroscopy (NIRS) allows continuous monitoring of the brain regional saturation of oxygen (rSO2). We sought to evaluated rSO2 variation during mechanical thrombectomy during acute ischemic stroke. Three patients admitted for middle cerebral artery occlusion were continuously monitored during mechanical thrombectomy (rSO2 in the infarcted and non-infarcted side and interhemispheric difference). The procedure was a success in two of them and failed in the third. At the beginning, rSO2 was lower in the infarcted side and interhemispheric difference was more than 5 %. When the procedure succeeded, rSO2 in the infarcted side rise (about 10 %) and interhemisperic difference decrease (about 7 %). When the procedure failed, rSO2 was the same at the beginning and at the end. NIRS may be useful to monitor recanalization during management of acute ischemic stroke.

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Conflict of interest

The authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. Service d’urgences Neuro-vasculaires, Hôpital Neurologique, Hospices Civils de Lyon, 59 Bld Pinel, 69677, Bron Cedex, France

    Thomas Ritzenthaler MD, Tae-Hee Cho & Norbert Nighoghossian

  2. Service de Neuro-radiologie, Hospices Civils de Lyon, 59 bd Pinel, 69677, Bron Cedex, France

    Yves Berthezene

  3. Université de Lyon CREATIS, CNRS UMR5220, INSERM U1044, INSA-Lyon, Université Lyon 1, Hospices Civils de Lyon, Bron Cedex, France

    Thomas Ritzenthaler MD, Tae-Hee Cho, Yves Berthezene & Norbert Nighoghossian

  4. Service de Réanimation, CH Jeanne de Navarre, Route de Verdilly, 02400, Château-Thierry, France

    David Luis

Authors
  1. Thomas Ritzenthaler MD
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  2. Tae-Hee Cho
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  3. David Luis
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  4. Yves Berthezene
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  5. Norbert Nighoghossian
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Correspondence to Thomas Ritzenthaler MD.

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Ritzenthaler, T., Cho, TH., Luis, D. et al. Usefulness of near-infrared spectroscopy in thrombectomy monitoring. J Clin Monit Comput 29, 585–589 (2015). https://doi.org/10.1007/s10877-014-9636-9

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  • DOI: https://doi.org/10.1007/s10877-014-9636-9

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