Case report

Intraoperative Transcranial Doppler Ultrasound Monitoring of the Cerebral Blood Flow during Carotid Endarterectomy, Surgical Management of Intracranial Aneurysms and Coronary Artery Bypass Grafting

Erih Tetičković
Marija Menih
Kazimir Miksić
Vojko Flis
Gorazd Košir
Gorazd Bunc

Abstract

Intraoperative transcranial Doppler monitoring of intracranial blood flow during carotid endarterectomy, surgical management of intracranial aneurysms and coronary artery bypass grafting is important because it enables recording of the flow in the middle cerebral artery in real time. An adequate blood flow through the middle cerebral artery during carotid endarterectomy allows for selective choice of intraluminal shunt as well as an operation without it, timely identification of cerebral hyperperfusion, vasospasm and hypoperfusion, and detection of cerebral microembolisms, thus minimizing postoperative neurologic complications such as cerebrovascular events or cognitive dysfunction.

Keywords

Aortic diseases - ultrasonography; Coronary artery bypass; Endarterectomy carotid; Ultrasonography - Doppler - transcranial; Monitoring - intraoperative

Hrčak ID:

14277

URI

https://hrcak.srce.hr/14277

Publication date:

1.9.2005.

Article data in other languages: croatian

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