Measurement of changes in perfusion after carotid endarterectomy by 3D pseudo-continuous arterial spin labeling

Abstract

Background:Carotid endarterectomy (CEA) is an effective method for treating cerebral ischemia caused by carotid stenosis, but there may be a risk of perfusion pressure breakthrough during early perfusion recovery. As a non-invasive and contrast-free magnetic resonance examination method, arterial spin labeling can be used for continuous observation and measurement in the early postoperative period of carotid endarterectomy. Results: Nineteen patients with severe unilateral carotid stenosis were examined using 3D pseudo-continuous arterial spin labeling before and after CEA, and we found that the pattern of dynamic cerebral blood flow changes is not the same in different regions.Conclusions: 3D pseudo-continuous arterial spin labeling might be helpful for the improvement of postoperative treatment and care of severe unilateral carotid stenosis patients.