What question did this study set out to answer?

To evaluate the effectiveness of carotid endarterectomy performed under local anesthesia in detecting early neurological events using near-infrared spectroscopy.

February 19, 2026Turkish Journal of Thoracic and Cardiovascular Surgery0 citations

The role of carotid endarterectomy performed under local anesthesia with near-infrared spectroscopy in the detection of early neurological events

FTFaruk ToktaşSağlık Bilimleri Üniversitesi NKNail KahramanBursa Technical University USUmut Serhat SanrıAlanya Hamdullah Emin Pasa University

Puntos clave

To evaluate the effectiveness of carotid endarterectomy performed under local anesthesia in detecting early neurological events using near-infrared spectroscopy.
Carotid endarterectomy performed under local anesthesia.
Monitoring of neurological deficits during and after the procedure.
Utilization of near-infrared spectroscopy to assess brain oxygenation.
Establishing thresholds for significant NIRS value changes related to shunt use.
Early detection of significant neurological deficits in patients.
Notable revisions made during surgery based on observed deficits.
Decreased NIRS values correlated with shunt use.
A decrease of more than 30% in NIRS values indicated potential necessity for shunting.

Resumen

With carotid surgery performed under LA, significant neurological deficits were detected early and necessary revisions were performed. We also found that a decrease in NIRS values is significant for shunt use, and a decrease of more than 30% in NIRS could be note worthy for shunt use.

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