Key result
TCD monitoring enables real-time microemboli and flow tracking to manage complications during CEA and CAS.
Why the study?
Periprocedural complications such as distal embolism, cerebral hypoperfusion, and hyperperfusion syndrome during carotid endarterectomy or carotid artery stenting require early detection and management, for which transcranial Doppler monitoring is useful.
Does periprocedural transcranial Doppler monitoring aid in the early detection and management of complications in patients undergoing CEA or CAS?
Does periprocedural transcranial Doppler monitoring aid in the early detection and management of complications in patients undergoing CEA or CAS?
Transcranial Doppler monitoring is considered an essential tool for the periprocedural management of patients undergoing carotid endarterectomy or stenting to detect and prevent neurological complications.
TCD monitoring may detect key signals linked to perioperative stroke during CEA/CAS; leaves open whether routine use improves outcomes in trials.
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Yamagami et al. (2010) conducted a review in Severe carotid artery stenosis. Transcranial Doppler (TCD) monitoring was evaluated. Transcranial Doppler monitoring allows real-time observation of cerebral blood flow and microemboli, making it essential for managing periprocedural complications during CEA and CAS.
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