Application of intraoperative motor evoked potential monitoring during giant internal carotid artery aneurysm surgery using prolonged temporary occlusion

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• 作者：Jianping Song ; Liqin Lang ; Wei Zhu ; Yuxiang Gu ; Bin Xu ; Jiajun Cai…
• 关键词：Intracranial aneurysm ; Surgery ; Internal carotid artery ; Clipping ; Bypass ; Motor evoked potential
• 刊名：Acta Neurochirurgica
• 出版年：2015
• 出版时间：November 2015
• 年：2015
• 卷：157
• 期：11
• 页码：1833-1840
• 全文大小：936 KB
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• 作者单位：Jianping Song (1)
  Liqin Lang (1)
  Wei Zhu (1)
  Yuxiang Gu (1)
  Bin Xu (1)
  Jiajun Cai (1)
  Qi Yue (1)
  Geng Xu (1)
  Liang Chen (1)
  Ying Mao (1)
  
  1. Department of Neurosurgery, Huashan Hospital, Fudan University, No. 12 Wulumuqi Zhong Road, Shanghai, 200040, China
  
• 刊物主题：Neurosurgery; Interventional Radiology; Neuroradiology; Neurology; Surgical Orthopedics; Minimally Invasive Surgery;
• 出版者：Springer Vienna
• ISSN：0942-0940

文摘

Background Clipping and bypass surgery are common therapeutic options for the management of giant internal carotid artery (ICA) aneurysms. However, potential ischemic risks may be exaggerated by prolonged temporary occlusion (PTO) during the surgery. Monitoring motor-evoked potentials (MEPs) is a sensitive technique for detecting potential ischemia intraoperatively. This preliminary study was designed to evaluate the effectiveness of applying MEP monitoring during giant ICA aneurysm surgery using PTO.