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  • Možganski hiperperfuzijski sindrom med karotidno trombendarterektomijo in po njej = Cerebral hyperperfusion syndrome during and after carotid thrombendarterectomy
    Tetičkovič, Erih, 1944-2024 ; Miksić, Kazimir
    Background. Cerebral hyperperfusion syndrome (HPS) occurring during carotid thrombendarterectomy (TEA) or following it may represent a dangerous complication of surgical treatment of a ... hemodynamically significant stenosis of the internal carotid artery (ACI), particularly if it progresses to intracerebral hemorrhage. Transcranial Doppler ultrasonography (TCD) offers the possibility of following the changes in cerebral perfusion. Methods. ln 71patients with hemodynamically significant stenosis of the ACI (> 75%), TCD sonography was used to follow the bloodflow velocity in the middle cerebral artery (MCA) on the side of operation prior to and during surgery, and throughout the following 24 hours. Results. Cerebral HPS was discovered in 14 cases: 2 during carotid TEA, 12 within the first 24 hours after surgery. All cases involve high-risk patients with a high degree of carotid stenosis, expressed and unstable arterial hypertension as well as destroyed autoregulation. Intracerebral hemorrhage occurred in one case. Conclusions. Wefind that high-risk patients are particularly exposed to the danger of cerebral HPS. Intraoperative and early postoperative TCD offer the possibilityof early detection and treatment of cerebral HPS, thus decreasing morbidity and mortality on its account.
    Source: Zdravniški vestnik : glasilo Slovenskega zdravniškega društva = Slovenian medical journal = journal of Slovenian Medical Association. - ISSN 1318-0347 (Letn. 69, št. 4, april 2000, str. 237-240)
    Type of material - article, component part
    Publish date - 2000
    Language - slovenian
    COBISS.SI-ID - 11509977

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