Risk factors for XXXX during carotid endarterectomy: A retrospective study.

@entity129 @entity1 @entity2123 @entity128 @entity787
BACKGROUND: @entity129 during @entity787 are a known complication. The purpose of this study is to evaluate if significant changes in somatosensory evoked potentials and electroencephalography increase @entity129 during @entity787 . PROCEDURES: This is an observational retrospective case-control study analyzed with data collected from @entity1 who underwent @entity787 at the University of Pittsburgh Medical Center. Five hundred and eighty-seven @entity1 were included in the final analysis. Due to the small number of @entity129 and the comparatively large number of potential covariates, we used a regression analysis with Bayesian shrinkage. FINDINGS: Analysis was performed on 587 @entity1 , of which a total of 11 (1.8%) cases of @entity129 were recorded. The marginal mandibular branch of the facial nerve was injured in nine (81%) @entity1 and hypoglossal nerve was injured in two (19%) @entity1 . Of the 11 @entity1 , 9 cases resolved by the time of discharge, the 2 cases that persisted both were @entity2123 . Multivariate analysis using Bayesian shrinkage showed that after adjusting for all risk factors only IOM changes increased the risk of @entity129 (OR 38.47, 95% CI 7.73, 191.42). CONCLUSIONS: @entity128 is 38 times more likely in @entity1 who experienced a change in IOM during @entity787 shunt. Future studies examining the effect of stretch and the degree of retraction on the CN might be more helpful in reducing @entity129 .
