• Neurocirugia · Nov 2014

    Case Reports

    [Intraoperative monitoring of oxygen tissue pressure: Applications in vascular neurosurgery].

    • Fuat Arikan, Jordi Vilalta, Ramon Torne, Ivette Chocron, Ana Rodriguez-Tesouro, and Juan Sahuquillo.
    • Servicio de Neurocirugía, Unidad de Investigación de Neurotraumatología y Neurocirugía, Institut de Recerca Vall d'Hebron, Hospital Universitario Vall d'Hebron, Universitat Autònoma de Barcelona, Barcelona, España. Electronic address: arikan@neurotrauma.net.
    • Neurocirugia. 2014 Nov 1; 25 (6): 275-85.

    AbstractIschemic lesions related to surgical procedures are a major cause of postoperative morbidity in patients with cerebral vascular disease. There are different systems of neuromonitoring to detect intraoperative ischemic events, including intraoperative monitoring of oxygen tissue pressure (PtiO2). The aim of this article was to describe, through the discussion of 4 cases, the usefulness of intraoperative PtiO2 monitoring during vascular neurosurgery. In presenting these cases, we demonstrate that monitoring PtiO2 is a reliable way to detect early ischemic events during surgical procedures. Continuous monitoring of PtiO2 in an area at risk allows the surgeon to resolve the cause of the ischemic event before it evolves to an established cerebral infarction. Copyright © 2014 Sociedad Española de Neurocirugía. Published by Elsevier España. All rights reserved.

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