title: On-table diagnosis of incipient carotid artery thrombosis during carotid endarterectomy by transcranial Doppler scanning.
abstract: We present a case where transcranial Doppler ultrasound monitoring of a carotid endarterectomy enabled us to detect the incipient thrombosis of the operated artery before reversal of anesthesia. The use of transcranial Doppler ultrasound monitoring in carotid endarterectomy has the potential to detect this complication before serious neurologic damage has occurred and therefore reduce the morbidity and mortality rates associated with the operation.
authors.affiliation: Department of Surgery, Leicester Royal Infirmary, England.
authors.forename: M E
authors.initials: ME
authors.lastname: Gaunt
authors.forename: D A
authors.initials: DA
authors.lastname: Ratliff
authors.forename: P J
authors.initials: PJ
authors.lastname: Martin
authors.forename: J L
authors.initials: JL
authors.lastname: Smith
authors.forename: P R
authors.initials: PR
authors.lastname: Bell
authors.forename: A R
authors.initials: AR
authors.lastname: Naylor
mesh_terms: D000368:Aged; D002545:Brain Ischemia / Q000601:surgery; D002340:Carotid Artery Diseases / Q000601:surgery; D002341:Carotid Artery Thrombosis / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D016894:Endarterectomy, Carotid; D006801:Humans; D008297:Male; D016343:Monitoring, Intraoperative; D017585:Ultrasonography, Doppler, Transcranial