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[使用趋势分析仪进行脑电图监测能否取代颈动脉手术中的残端压力测量?]

[Can EEG monitoring with the Trend Analyzer replace stump pressure measurement in carotid surgery?].

作者信息

Loeprecht H, Wölfle K, Heudorfer J, Reich H

出版信息

Langenbecks Arch Chir. 1985;366:333-8. doi: 10.1007/BF01836659.

DOI:10.1007/BF01836659
PMID:4058175
Abstract

Description of the EEG-trend-analyzer as an intraoperative monitoring during carotis surgery. Criteria for the evaluation of the findings are presented. In a prospective study 92 patients underwent monitoring with the EEG-trend-analyzer as well as the measuring of the internal carotid artery stump pressure. EEG monitoring shows a sensitivity of 100% for ischemic events, compared to 67% for the stump pressure measurement with a threshold of 50 mm Hg. EEG monitoring shows false positive results in 25% but no false negative results. Stump pressure investigation of the internal carotid artery is a very unreliable parameter for cerebral ischemia and inferior to the results of EEG-monitoring.

摘要

脑电图趋势分析仪在颈动脉手术中作为术中监测的描述。给出了评估结果的标准。在一项前瞻性研究中,92例患者接受了脑电图趋势分析仪监测以及颈内动脉残端压力测量。与残端压力测量(阈值为50 mmHg时灵敏度为67%)相比,脑电图监测对缺血事件的灵敏度为100%。脑电图监测有25%的假阳性结果,但无假阴性结果。颈内动脉残端压力检查对于脑缺血是一个非常不可靠的参数,不如脑电图监测结果。

相似文献

1
[Can EEG monitoring with the Trend Analyzer replace stump pressure measurement in carotid surgery?].[使用趋势分析仪进行脑电图监测能否取代颈动脉手术中的残端压力测量?]
Langenbecks Arch Chir. 1985;366:333-8. doi: 10.1007/BF01836659.
2
Prospective evaluation of electroencephalography, carotid artery stump pressure, and neurologic changes during 314 consecutive carotid endarterectomies performed in awake patients.对314例清醒患者连续进行颈动脉内膜切除术期间的脑电图、颈动脉残端压力和神经学变化进行前瞻性评估。
J Vasc Surg. 2007 Mar;45(3):511-5. doi: 10.1016/j.jvs.2006.11.035. Epub 2007 Jan 31.
3
Relationship of intraoperative EEG monitoring and stump pressure measurements during carotid endarterectomy.颈动脉内膜切除术期间术中脑电图监测与残端压力测量的关系。
Circulation. 1980 Aug;62(2 Pt 2):I4-7.
4
[Value of EEG monitoring in operations of the supra-aortic arteries].[脑电图监测在主动脉弓上动脉手术中的价值]
Langenbecks Arch Chir. 1985;366:347-52. doi: 10.1007/BF01836662.
5
Comparison of carotid artery stump pressure and EEG monitoring in carotid endarterectomy.颈动脉内膜切除术中颈动脉残端压力与脑电图监测的比较
Am Surg. 1978 Oct;44(10):655-60.
6
Stump pressure, the contralateral carotid artery, and electroencephalographic changes.残端压力、对侧颈动脉及脑电图变化。
Am J Surg. 1991 Aug;162(2):185-8; discussion 188-9. doi: 10.1016/0002-9610(91)90185-g.
7
Carotid endarterectomy. The unreliability of intraoperative monitoring in patients having had stroke or reversible ischemic neurologic deficit.
Arch Surg. 1981 Dec;116(12):1569-75. doi: 10.1001/archsurg.1981.01380240053008.
8
Clinical experience with carotid stump pressure and EEG monitoring to determine shunt placement during carotid endarterectomy.颈动脉内膜切除术期间运用颈动脉残端压力和脑电图监测来确定分流管放置的临床经验。
J Natl Med Assoc. 1983 Jun;75(6):583-7.
9
[Malfunctioning of cerebral function monitors in three cases of carotid endarterectomy].[三例颈动脉内膜切除术中心脑功能监测仪故障]
Masui. 2000 Jan;49(1):40-4.
10
EEG as a criterion for shunt need in carotid endarterectomy.脑电图作为颈动脉内膜切除术分流需求的标准。
Ann Vasc Surg. 2002 Nov;16(6):756-61. doi: 10.1007/s10016-001-0208-3. Epub 2002 Nov 6.

本文引用的文献

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EEG and carotid cutaneous plethysmographic monitoring during carotid reconstructive surgery.
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2
Carotid and vertebral artery surgery, EEG monitoring, and the operating room.颈动脉和椎动脉手术、脑电图监测以及手术室。
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Hemiparesis following carotid endarterectomy: comparison of monitoring methods.颈动脉内膜切除术后偏瘫:监测方法的比较
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The use of electroencephalographic monitoring during carotid endarterectomy, as an indicator for the application of a temporary by-pass.在颈动脉内膜切除术期间使用脑电图监测,作为应用临时旁路的指标。
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Cerebral blood flow measurements and electroencephalograms during carotid endarterectomy.颈动脉内膜切除术期间的脑血流量测量和脑电图
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Cerebral hemodynamics in carotid surgery.颈动脉手术中的脑血流动力学
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Cerebral Ischemia during carotid endarterectomy with severe but reversible changes.颈动脉内膜切除术期间的脑缺血,伴有严重但可逆的变化。
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10
Results of electroencephalographic monitoring during 367 carotid endarterectomies. Use of a dedicated minicomputer.367例颈动脉内膜切除术期间的脑电图监测结果。专用微型计算机的应用。
Stroke. 1979 Jul-Aug;10(4):381-8. doi: 10.1161/01.str.10.4.381.