A 34-year-old member asked:
Disclaimer

how do doctors make sure that the brain keeps getting blood during carotid artery surgery?

3 doctor answers
Dr. Ramin AmirNovin
20 years experience Neurosurgery
EEG or Shunt: There are two ways to know. Some people use a EEG to monitor the brain activity to assure enough blood is flowing to the brain. Others use a small tube to allow blood to bypass the work/surgery site in order to assure blood is always being supplied they work.
Answered on Jun 22, 2017
1
1 comment
1
1 thank
Dr. Kevin Nolan
Dr. Kevin Nolan commented
34 years experience Vascular Surgery
I agree with Dr.Amir Novin and would add that a third way is to allow the patient to remain awake (the neck where the procedure is being completed is numbed) that way the patient can talk and follow commands to demonstrate the brain is ok
Jan 21, 2013
Dr. Shadi Abu Halimah
20 years experience Vascular Surgery
Awake or asleep: Some surgeons will perform carotid surgery under local aneshesia and during clamping the patient can give feed back about decrease blood flow which means u need to have a shunt or not . If the surgery is done under general anesthesia u either get a shunt all time or have brain flow monitor like eeg
Answered on Jun 22, 2017
1
1 thank
Dr. Jeffrey Hnath
19 years experience Vascular Surgery
Neuro exam: Neuro exam, eeg monitoring, stump pressures, transcranial doppler.
Answered on Jun 22, 2017
1
1 thank

90,000 U.S. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more. Get help now:

Ask doctors free
Personalized answers
Free
Talk to a doctor
Unlimited visits
$10/month

Related questions:

A 42-year-old member asked:
Dr. Bradley Thomas
18 years experience Vascular Surgery
Yes. Call Now!: Patients who have had carotid artery surgery definitely have a risk of stroke. The highest risk of stroke is during and immediately after the procedur ... Read More
2
2 thanks
A 29-year-old member asked:
Dr. Terry Simpson
34 years experience General Surgery
Carotid for stroke: Mostly because the artery has plaque and that can become loose and cause a stroke.
A 34-year-old member asked:
Dr. Sabatino Bianco
25 years experience Neurosurgery
Yes: If there is stanosis after surgery and it is not at a critical point, it is very important to take blood thinners.
8
8 thanks

90,000 U.S. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more. Get help now:

Ask doctors free
Personalized answers
Free
Talk to a doctor
Unlimited visits
$10/month