Tokuda

Unique method of cerebral function monitoring during operations is being implemented by the vascular surgeon teams in Tokuda Hospital Sofia

The avant-garde methodology dramatically minimizes the fundamental risk of post-operative cerebral strokes

For the first time in Bulgaria, the unique combination of methods incorporating monitoring cerebral blood supply and metabolism during operations is being routinely offered by the vascular surgery department of Tokuda Hospital Sofia. The results of the implementation of the avant-garde methodology were also presented at the XI Bulgarian National Neurology Conference.

Multimodal cerebral monitoring is mostly applicable during surgical treatment of advanced stage narrowing of the carotid arteries, which is caused by atherosclerotic plaques in the carotid vessels and can lead to cerebral stroke. The apparatus allows the surgeon to track the cerebral blood supply and oxygen levels at every moment, and it alerts the surgeon of any dangerous disruptions in oxygen or blood supplies levels which could prove fatal to cerebral function.

 “The major risk of postoperative stroke is minimized among the patients who are operated under the conditions of cerebral hemodynamic monitoring”, reported Dr. Vasil Chervenkov PhD, vascular surgery department chief of Tokuda Hospital Sofia. He added that the new method provides more vital information and correspondingly increases patient security during operations. The delicate procedure has the potential to significantly reduce the risks of complications for the patients.

The effectiveness of multi-modal monitoring is based upon the simultaneous application of transcranial Doppler monitoring, narrow spectrum infrared spectrometry, arterial punch pressure measurements, and venous blood saturation monitoring.

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