Abstract
A Single-center retrospective review was conducted between January 2016 and December 2018. In 93 patients who underwent carotid endarterectomy (CEA) using combined stump pressure (SP) and transcranial Doppler ultrasound or electroencephalography (EEG) under general anesthesia (GA), there was a 1.1% incidence of stroke, 2.1% incidence of transient ischemic attack, and 23% incidence of shunting. In 63 patients who underwent CEA using combined SP and EEG with monitoring of somatosensory evoked potentials under GA, there was a 1.5% incidence of stroke, 3.1% incidence of transient ischemic attack, and 13% incidence of shunting. Compared with use of SP and transcranial Doppler ultrasound or EEG, use of SP and EEG with monitoring of somatosensory evoked potentials reduced the need for shunting in patients who underwent CEA under GA from 23% to 13%.
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