Carotid Surgery
Conditions
Keywords
Carotid Surgery, Cerebral Ischemia, Cognitive Deficits, Somatosensory-evoked Potentials, Neuromonitoring
Brief summary
Hypothesis: Trigeminus-evoked somatosensory potentials (TRI-SEP) may be used as an alternative technique to medianus-evoked somatosensory potentials (MED-SEP) in patients undergoing elective carotid surgery.
Detailed description
For CNS-monitoring somatosensory-evoked responses ba electrical stimulation of the contralateral median nerve are established: A reduction of amplitude and a delay in latency may represent a sensible marker of imminent cerebral ischemia. This study will evaluate a new concept by using trigeminal nerve evoked somatosensory evoked potentials in comparison to the established MED-SEP. Beside the comparison of two methods of neuromonitoring, this study will investigate the neurological long-term outcome (90-day evaluation) with different neuropsychological tests for the detection of cognitive deficits.
Interventions
intraoperative neurophysiological monitoring
intraoperative neurophysiologic monitoring
neurological short- and longterm outcome
Sponsors
Study design
Eligibility
Inclusion criteria
* Age \>= 18 years * Agreement with study procedure * Elective carotid surgery
Exclusion criteria
* Inability to take somatosensory potentials * Inability to respond to neuropsychological tests * Severe preoperative neurological deficit
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| detection of episodes of cerebral ischemia during carotid surgery | intraoperative, 28 days, and 60 days after surgery |
Countries
Germany