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

Key Points

• 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.

Abstract