CAROTID ENDARTERECTOMY UNDER TRANSCRANIAL DOPPLER MONITORING

Aims : To assess usefulness of Transcranial DopplerMonitoringduringCarotid Endarterectomy

Methods : 42 Consecutive patient with symptomatic carotid stenosis were subjected to Carotid Endarterectomy under continuous TCD Monitoring of the ipsilateral Middle Cerebral Artery

Results : A total of 42 patients underwent CEA of which there were 33 Gentlemen and 9 Ladies. 19 patient underwent Right CEA, 17 patient underwent Left CEA and 1 patient underwent bilateral CEA sequentially Two patients underwent reexploration immediately after procedure as TCD showed no improvement in flow. One of these two patients also had multiple emboli pickedup by continuous TCD monitoring One had hyperperfusion which was also treated accordingly

Complications : 1 patient had Minor bleeding ; 1 patient had Neuropraxia; No patient had Peroperative stroke or postoperative stroke; There was no mortality.

Conclusions : Continuous TCD Monitoring of ipsilateral Middle Cerebral Artery is a very useful procedure for safe and effective Carotid Endarterectomy