Is Near-Infrared Spectroscopy a Reliable Method to Evaluate Clamping Ischemia during Carotid Surgery?
المؤلفون المشاركون
Pedrini, Luciano
Magnoni, Filippo
Ballestrazzi, Maria Sandra
Sensi, Luigi
Cirelli, Maria Rosaria
Pisano, Emilio
Pilato, Alessandro
المصدر
العدد
المجلد 2012، العدد 2012 (31 ديسمبر/كانون الأول 2012)، ص ص. 1-7، 7ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2011-11-09
دولة النشر
مصر
عدد الصفحات
7
التخصصات الرئيسية
الملخص EN
Guidelines do not include cerebral oximetry among monitoring for carotid endarterectomy (CEA).
The purpose of this study was to evaluate the reliability of near-infrared spectroscopy (NIRS) in the detection of clamping ischemia and in the prevention of clamping-related neurologic deficits using, as a cutoff for shunting, a 20% regional cerebral oxygen saturation (rSO2) decrease if persistent more than 4 minutes, otherwise a 25% rSO2 decrease.
Bilateral rSO2 was monitored continuously in patients undergoing CEA under general anesthesia (GA).
Data was recorded after clamping, declamping, during shunting and lowest values achieved.
Preoperative neurologic, CT-scan, and vascular lesions were recorded.
We reviewed 473 cases: 305 males (64.5%) mean age 73.3±7.3.
Three patients presented transient ischemic deficits at awakening, no perioperative stroke or death; 41 (8.7%) required shunting: 30 based on the initial rSO2 value and 11 due to a decrease during surgery.
Using the ROC curve analysis we found, for a >25% reduction from baseline value, a sensitivity of 100% and a specificity of 90.6%.
Reliability, PPV, and NPV were 95.38%, 9%, and 100%, respectively.
In conclusion, this study indicates the potential reliability of NIRS monitoring during CEA under GA, using a cutoff of 25% or a cutoff of 20% for prolonged hypoperfusion.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Pedrini, Luciano& Magnoni, Filippo& Sensi, Luigi& Pisano, Emilio& Ballestrazzi, Maria Sandra& Cirelli, Maria Rosaria…[et al.]. 2011. Is Near-Infrared Spectroscopy a Reliable Method to Evaluate Clamping Ischemia during Carotid Surgery?. Stroke Research and Treatment،Vol. 2012, no. 2012, pp.1-7.
https://search.emarefa.net/detail/BIM-450330
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Pedrini, Luciano…[et al.]. Is Near-Infrared Spectroscopy a Reliable Method to Evaluate Clamping Ischemia during Carotid Surgery?. Stroke Research and Treatment No. 2012 (2012), pp.1-7.
https://search.emarefa.net/detail/BIM-450330
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Pedrini, Luciano& Magnoni, Filippo& Sensi, Luigi& Pisano, Emilio& Ballestrazzi, Maria Sandra& Cirelli, Maria Rosaria…[et al.]. Is Near-Infrared Spectroscopy a Reliable Method to Evaluate Clamping Ischemia during Carotid Surgery?. Stroke Research and Treatment. 2011. Vol. 2012, no. 2012, pp.1-7.
https://search.emarefa.net/detail/BIM-450330
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-450330
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر