术前数字式颈动脉压迫作为颈动脉内膜切除术时是否需要分流的预测指标。
Preoperative digital carotid compression as a predictor of the need for shunting during carotid endarterectomy.
作者信息
Naraynsingh Vijay, Harnarayan Patrick, Maharaj Ravi, Dan Dilip, Hariharan Seetharaman
机构信息
Department Clinical Surgical Sciences, The University of the West Indies, St. Augustine, Trinidad West Indies.
出版信息
Open Cardiovasc Med J. 2013 Nov 15;7:110-2. doi: 10.2174/1874192401307010110. eCollection 2013.
Abstract
This study prospectively attempted to assess the need for shunting by preoperative digital compression of the proximal common carotid artery and correlated these findings with intraoperative assessment while performing carotid endarterectomy under local anaesthesia. Preoperative digital compression is highly predictive of the need for shunting intra-operatively and can be used as a valuable test in carefully chosen patients. This may help in decreasing the need for advanced neurological monitoring during carotid endarterectomy.
摘要
本研究前瞻性地尝试通过术前对颈总动脉近端进行数字压迫来评估分流的必要性，并将这些结果与在局部麻醉下进行颈动脉内膜切除术时的术中评估相关联。术前数字压迫对术中分流需求具有高度预测性，可作为精心挑选患者的一项有价值的检测方法。这可能有助于减少颈动脉内膜切除术中对高级神经监测的需求。
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