ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
Cerebral oximetry monitoring method for the evaluation of the need of shunt placement during carotid endarterectomy
Murat Aksun1, Senem Girgin1, Volkan Kuru1, Atilla Şencan1, Levent Yılık2, Gülçin Aran1, Ali Gürbüz2, Nagihan Karahan1
1Department of Anaesthesiology and Reanimation, İzmir Katip Çelebi University, İzmir Atatürk Training and Research Hospital, İzmir, Turkey
2Department of Cardiovascular Surgery, İzmir Katip Çelebi University, İzmir Atatürk Training and Research Hospital, İzmir, Turkey
DOI : 10.5606/tgkdc.dergisi.2013.8389
The primary objective of anesthetic and surgical approach in carotid surgery is to protect the heart and brain from an ischemic damage. As a result, a shunt application which carries the blood from the common carotid artery to the internal carotid artery may be required during surgery. Shunt is usually used in patients with contralateral carotid artery stenosis or circle of Willis disease. Several monitoring methods are available to identify the need for intraoperative shunting. In this article, we aimed to present our clinical experience related to the use of cerebral oximetry monitoring method in the decision of shunt usage in carotid surgery.
Keywords : Carotid endarterectomy; cerebral oxymetry; shunt
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