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경동맥 내막 절제술중 뇌보호와 신경생리학적 검사의 의의

Other Titles
 Significance of Brain Protection and Neurophysiological Monitoring in Carotid Endarterectomy 
 신용삼  ;  김선호  ;  김종훈  ;  민경태  ;  김동익  ;  유선국  ;  이규창 
 Journal of Korean Neurosurgical Society (대한신경외과학회지), Vol.27(8) : 1101-1108, 1998 
Journal Title
Journal of Korean Neurosurgical Society(대한신경외과학회지)
Issue Date
We present our results of carotid endarterectomy performed in 12 patients(bilateral in 2 patients) under prospective brain protection-monitoring protocol during the past two years. The protocol consists of induced hypertension, mild hypothermia, and pentothal burst suppression under bipolar two-channel compressed spectral array(CSA) monitoring. Eleven of the 12 patients recovered without any new deficit from the surgery, and this result was expected as their CSA monitoring showed no significant changes. One patient had multiple untreated aneurysms, and therefore, hypertension was not applied. This patient developed significant postoperative neurological deficits correlated well with the CSA changes. One of the major advantages of CSA monitoring is that dosage of thiopental sodium for burst suppression, that varied greatly from 1,016mg to 3,220mg, could be titrated on each patient based upon the CSA findings. Another important benefit of our brain protection-monitoring protocol is that unnecessary shunting procedure could be avoided. In conclusion, brain protection under CSA monitoring could prevent dangerous ischemic insults from circulatory disruption on already vulnerable ischemic hemisphere in patients requiring carotid endarterectomy.
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1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Medical Engineering (의학공학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Dong Ik(김동익)
Kim, Sun Ho(김선호) ORCID logo https://orcid.org/0000-0003-0970-3848
Min, Kyeong Tae(민경태) ORCID logo https://orcid.org/0000-0002-3299-4500
Yoo, Sun Kook(유선국) ORCID logo https://orcid.org/0000-0002-6032-4686
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