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Papers of the Week

2019 Sep

Eur J Vasc Endovasc Surg



Transcranial Doppler 24 Hours after Carotid Endarterectomy Accurately Identifies Patients Not at Risk of Cerebral Hyperperfusion Syndrome.


Fassaert LMM, Immink RV, van Vriesland DJ, de Vries J-PPM, Toorop RJ, Kappelle JL, Westerink J, Tromp SC, de Borst GJ
Eur J Vasc Endovasc Surg. 2019 Sep; 58(3):320-327.
PMID: 31350134.


Intra-operative transcranial Doppler (TCD) is the gold standard for prediction of cerebral hyperperfusion syndrome (CHS) in patients after carotid endarterectomy (CEA) under general anaesthesia. However, post-operative cerebral perfusion patterns may result in a shift in risk assessment for CHS. This is a study of the predictive value of additional post-operative TCD measurements for prediction of CHS after CEA.