Cerebral oximetry monitoring method for the evaluation of the need of shunt placement during carotid endarterectomy

Murat Aksun; Senem Girgin; Volkan Kuru; Atilla Şencan; Levent Yılık; Gülçin Aran; Ali Gürbüz; Nagihan Karahan

doi:10.5606/tgkdc.dergisi.2013.8389

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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