Mark F. Berry, MD, Michael L. McGarvey, MD, Li Zeng, MD, Y

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Presentation transcript:

Neurological Monitoring and Off-Pump Surgery in a Very High-Risk Stroke Patient  Mark F. Berry, MD, Michael L. McGarvey, MD, Li Zeng, MD, Y. Joseph Woo, MD  The Annals of Thoracic Surgery  Volume 80, Issue 6, Pages 2372-2374 (December 2005) DOI: 10.1016/j.athoracsur.2004.06.064 Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Magnetic resonance angiogram showing severe cerebrovascular disease, including (left) an occluded left internal carotid artery (white arrow) and (right) a severely stenotic intracranial right carotid artery (white arrow). The Annals of Thoracic Surgery 2005 80, 2372-2374DOI: (10.1016/j.athoracsur.2004.06.064) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 (A) Baseline electroencephalographic (EEG) tracings. (B) The EEG tracings slowed (black arrow) when blood pressure decreased. (C) The EEG waveforms returned to baseline after pharmacologic support increased blood pressure. (D) Heart manipulation during evaluation for additional coronary targets caused diffuse EEG slowing. The Annals of Thoracic Surgery 2005 80, 2372-2374DOI: (10.1016/j.athoracsur.2004.06.064) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions