{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T17:16:53Z","timestamp":1786987013461,"version":"build-2736575974"},"reference-count":54,"publisher":"Elsevier BV","issue":"7","license":[{"start":{"date-parts":[[2020,7,1]],"date-time":"2020-07-01T00:00:00Z","timestamp":1593561600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2020,7,1]],"date-time":"2020-07-01T00:00:00Z","timestamp":1593561600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Clinical Neurophysiology"],"published-print":{"date-parts":[[2020,7]]},"DOI":"10.1016\/j.clinph.2020.03.037","type":"journal-article","created":{"date-parts":[[2020,4,23]],"date-time":"2020-04-23T11:33:25Z","timestamp":1587641605000},"page":"1508-1516","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":25,"title":["Diagnostic accuracy of various EEG changes during carotid endarterectomy to detect 30-day perioperative stroke: A systematic review"],"prefix":"10.1016","volume":"131","author":[{"given":"Robert","family":"Chang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajiv P.","family":"Reddy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shreya","family":"Sudadi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey","family":"Balzer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Donald J.","family":"Crammond","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine","family":"Anetakis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Parthasarathy D.","family":"Thirumala","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"3","key":"10.1016\/j.clinph.2020.03.037_b0005","doi-asserted-by":"crossref","first-page":"665","DOI":"10.1016\/j.avsg.2013.09.005","article-title":"Outcomes of combined somatosensory evoked potential, motor evoked potential, and electroencephalography monitoring during carotid endarterectomy","volume":"28","author":"Alcantara","year":"2014","journal-title":"Ann Vasc Surg"},{"issue":"5","key":"10.1016\/j.clinph.2020.03.037_b0010","doi-asserted-by":"crossref","first-page":"1045","DOI":"10.1016\/S0741-5214(03)00605-0","article-title":"Selective shunting with eversion carotid endarterectomy","volume":"38","author":"Ballotta","year":"2003","journal-title":"J Vasc Surg"},{"issue":"7","key":"10.1016\/j.clinph.2020.03.037_b0015","doi-asserted-by":"crossref","first-page":"445","DOI":"10.1056\/NEJM199108153250701","article-title":"Beneficial effect of carotid endarterectomy in symptomatic patients with high-grade carotid stenosis","volume":"325","author":"Barnett","year":"1991","journal-title":"N Engl J Med"},{"issue":"5","key":"10.1016\/j.clinph.2020.03.037_b0020","doi-asserted-by":"crossref","first-page":"501","DOI":"10.1161\/01.CIR.97.5.501","article-title":"Guidelines for carotid endarterectomy: a statement for healthcare professionals from a Special Writing Group of the Stroke Council, American Heart Association","volume":"97","author":"Biller","year":"1998","journal-title":"Circulation"},{"issue":"5","key":"10.1016\/j.clinph.2020.03.037_b0025","doi-asserted-by":"crossref","first-page":"891","DOI":"10.1161\/01.STR.17.5.891","article-title":"Significance of EEG changes at carotid endarterectomy","volume":"17","author":"Blume","year":"1986","journal-title":"Stroke"},{"issue":"9967","key":"10.1016\/j.clinph.2020.03.037_b0030","doi-asserted-by":"crossref","first-page":"529","DOI":"10.1016\/S0140-6736(14)61184-3","article-title":"Long-term outcomes after stenting versus endarterectomy for treatment of symptomatic carotid stenosis: the International Carotid Stenting Study (ICSS) randomised trial","volume":"385","author":"Bonati","year":"2015","journal-title":"Lancet"},{"issue":"2","key":"10.1016\/j.clinph.2020.03.037_b0035","first-page":"43","article-title":"Cerebral monitoring during carotid endarterectomy\u2013a comparison between electroencephalography, transcranial cerebral oximetry and carotid stump pressure","volume":"45","author":"Botes","year":"2007","journal-title":"S Afr J Surg"},{"issue":"1","key":"10.1016\/j.clinph.2020.03.037_b0040","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1056\/NEJMoa0912321","article-title":"Stenting versus endarterectomy for treatment of carotid-artery stenosis","volume":"363","author":"Brott","year":"2010","journal-title":"N Engl J Med"},{"issue":"4","key":"10.1016\/j.clinph.2020.03.037_b0045","doi-asserted-by":"crossref","first-page":"381","DOI":"10.1161\/01.STR.10.4.381","article-title":"Results of electroencephalographic monitoring during 367 carotid endarterectomise. Use of a dedicated minicomputer","volume":"10","author":"Chiappa","year":"1979","journal-title":"Stroke"},{"issue":"4","key":"10.1016\/j.clinph.2020.03.037_b0050","doi-asserted-by":"crossref","first-page":"508","DOI":"10.1002\/ana.410200411","article-title":"The value of intraoperative EEG monitoring during carotid endarterectomy","volume":"20","author":"Cho","year":"1986","journal-title":"Ann Neurol"},{"issue":"6","key":"10.1016\/j.clinph.2020.03.037_b0055","doi-asserted-by":"crossref","first-page":"815","DOI":"10.3171\/jns.1986.65.6.0815","article-title":"Role of EEG monitoring and cross-clamping duration in carotid endarterectomy","volume":"65","author":"Collice","year":"1986","journal-title":"J Neurosurg"},{"issue":"2","key":"10.1016\/j.clinph.2020.03.037_b0060","first-page":"249","article-title":"Clamping ischemia, threshold ischemia and delayed insertion of the shunt during carotid endarterectomy with patch","volume":"40","author":"Deriu","year":"1999","journal-title":"J Cardiovasc Surg (Torino)"},{"issue":"6","key":"10.1016\/j.clinph.2020.03.037_b0065","doi-asserted-by":"crossref","first-page":"775","DOI":"10.1016\/0741-5214(85)90121-1","article-title":"Optimal cerebral monitoring during carotid endarterectomy: neurologic response under local anesthesia","volume":"2","author":"Evans","year":"1985","journal-title":"J Vasc Surg"},{"issue":"3","key":"10.1016\/j.clinph.2020.03.037_b0070","doi-asserted-by":"crossref","first-page":"168","DOI":"10.1097\/00008506-199507000-00002","article-title":"Electrophysiological monitoring for selective shunting during carotid endarterectomy","volume":"7","author":"Fiori","year":"1995","journal-title":"J Neurosurg Anesthesiol"},{"issue":"4","key":"10.1016\/j.clinph.2020.03.037_b0075","doi-asserted-by":"crossref","first-page":"285","DOI":"10.1111\/j.1445-2197.1988.tb01057.x","article-title":"EEG monitoring during carotid endarterectomy","volume":"58","author":"Fletcher","year":"1988","journal-title":"Aust N Z J Surg"},{"issue":"1","key":"10.1016\/j.clinph.2020.03.037_b0080","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1016\/j.neucli.2004.01.001","article-title":"Electroencephalography (EEG) and somatosensory evoked potentials (SEP) to prevent cerebral ischaemia in the operating room","volume":"34","author":"Florence","year":"2004","journal-title":"Neurophysiol Clin"},{"issue":"3","key":"10.1016\/j.clinph.2020.03.037_b0085","doi-asserted-by":"crossref","first-page":"421","DOI":"10.1016\/S0741-5214(96)80006-1","article-title":"Carotid endarterectomy without a shunt for symptomatic lesions associated with contralateral severe stenosis or occlusion","volume":"23","author":"Frawley","year":"1996","journal-title":"J Vasc Surg"},{"issue":"5","key":"10.1016\/j.clinph.2020.03.037_b0090","doi-asserted-by":"crossref","first-page":"595","DOI":"10.1001\/archsurg.1986.01400050113015","article-title":"Predicting cerebral ischemia during carotid endarterectomy","volume":"121","author":"Graham","year":"1986","journal-title":"Arch Surg"},{"issue":"6","key":"10.1016\/j.clinph.2020.03.037_b0095","doi-asserted-by":"crossref","first-page":"785","DOI":"10.1097\/00000658-198506000-00017","article-title":"Benefits, shortcomings, and costs of EEG monitoring","volume":"201","author":"Green","year":"1985","journal-title":"Ann Surg"},{"issue":"2","key":"10.1016\/j.clinph.2020.03.037_b0100","doi-asserted-by":"crossref","DOI":"10.1097\/00006123-199808000-00016","article-title":"Preoperative volume expansion improves tolerance to carotid artery cross-clamping during endarterectomy","volume":"43","author":"Gross","year":"1998","journal-title":"Neurosurgery"},{"issue":"9746","key":"10.1016\/j.clinph.2020.03.037_b0105","doi-asserted-by":"crossref","first-page":"1074","DOI":"10.1016\/S0140-6736(10)61197-X","article-title":"10-year stroke prevention after successful carotid endarterectomy for asymptomatic stenosis (ACST-1): a multicentre randomised trial","volume":"376","author":"Halliday","year":"2010","journal-title":"Lancet"},{"issue":"2","key":"10.1016\/j.clinph.2020.03.037_b0110","doi-asserted-by":"crossref","first-page":"148","DOI":"10.1016\/S0002-9610(99)80275-X","article-title":"Stump pressure, electroencephalographic changes, and the contralateral carotid artery: another look at selective shunting","volume":"170","author":"Harada","year":"1995","journal-title":"Am J Surg"},{"issue":"6","key":"10.1016\/j.clinph.2020.03.037_b0115","doi-asserted-by":"crossref","first-page":"369","DOI":"10.1007\/s10877-009-9191-y","article-title":"Guidelines for intraoperative neuromonitoring using raw (analog or digital waveforms) and quantitative electroencephalography: a position statement by the American Society of Neurophysiological Monitoring","volume":"23","author":"Isley","year":"2009","journal-title":"J Clin Monit Comput"},{"issue":"5","key":"10.1016\/j.clinph.2020.03.037_b0120","doi-asserted-by":"crossref","first-page":"665","DOI":"10.1161\/01.STR.24.5.665","article-title":"Carotid endarterectomy with transcranial Doppler and electroencephalographic monitoring. A prospective study in 130 operations","volume":"24","author":"Jansen","year":"1993","journal-title":"Stroke"},{"issue":"3","key":"10.1016\/j.clinph.2020.03.037_b0125","doi-asserted-by":"crossref","first-page":"439","DOI":"10.1067\/mva.1991.26500","article-title":"Limitations of electroencephalographic monitoring in the detection of cerebral ischemia accompanying carotid endarterectomy","volume":"13","author":"Kresowik","year":"1991","journal-title":"J Vasc Surg"},{"issue":"5","key":"10.1016\/j.clinph.2020.03.037_b0130","doi-asserted-by":"crossref","first-page":"423","DOI":"10.1016\/S0950-821X(89)80050-7","article-title":"Stroke-related EEG changes during carotid surgery","volume":"3","author":"Krul","year":"1989","journal-title":"Eur J Vasc Surg"},{"issue":"6","key":"10.1016\/j.clinph.2020.03.037_b0135","first-page":"269","article-title":"The value of carotid stump pressure and EEG monitoring in predicting carotid cross-clamping intolerance","volume":"96","author":"Lacroix","year":"1996","journal-title":"Acta Chir Belg"},{"key":"10.1016\/j.clinph.2020.03.037_b0140","doi-asserted-by":"crossref","first-page":"178","DOI":"10.1016\/j.avsg.2019.04.017","article-title":"Multimodal neurophysiological monitoring reduces shunt incidence during carotid endarterectomy","volume":"61","author":"Leopardi","year":"2019","journal-title":"Ann Vasc Surg"},{"issue":"3","key":"10.1016\/j.clinph.2020.03.037_b0145","doi-asserted-by":"crossref","DOI":"10.1097\/00000658-199609000-00006","article-title":"Carotid endarterectomy. Lessons from intraoperative monitoring\u2013a decade of experience","volume":"224","author":"McCarthy","year":"1996","journal-title":"Ann Surg"},{"issue":"8","key":"10.1016\/j.clinph.2020.03.037_b0150","doi-asserted-by":"crossref","first-page":"850","DOI":"10.1179\/016164105X3997","article-title":"Carotid endarterectomy without shunt: the role of cerebral metabolic protection","volume":"27","author":"Melgar","year":"2005","journal-title":"Neurol Res"},{"issue":"10","key":"10.1016\/j.clinph.2020.03.037_b0155","doi-asserted-by":"crossref","first-page":"1006","DOI":"10.1016\/j.jclinepi.2009.06.005","article-title":"Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement","volume":"62","author":"Moher","year":"2009","journal-title":"J Clin Epidemiol"},{"key":"10.1016\/j.clinph.2020.03.037_b0160","first-page":"Cd001081","article-title":"Carotid endarterectomy for symptomatic carotid stenosis","volume":"6","author":"Orrapin","year":"2017","journal-title":"Cochrane Database Syst Rev"},{"issue":"6","key":"10.1016\/j.clinph.2020.03.037_b0165","doi-asserted-by":"crossref","first-page":"693","DOI":"10.1097\/ACO.0b013e32834c7aa1","article-title":"The potential benefits and the role of cerebral monitoring in carotid endarterectomy","volume":"24","author":"Pennekamp","year":"2011","journal-title":"Curr Opin Anaesthesiol"},{"issue":"6","key":"10.1016\/j.clinph.2020.03.037_b0170","doi-asserted-by":"crossref","first-page":"756","DOI":"10.1007\/s10016-001-0208-3","article-title":"EEG as a criterion for shunt need in carotid endarterectomy","volume":"16","author":"Pinkerton","year":"2002","journal-title":"Ann Vasc Surg"},{"issue":"4","key":"10.1016\/j.clinph.2020.03.037_b0175","doi-asserted-by":"crossref","first-page":"620","DOI":"10.1016\/S0741-5214(97)70287-8","article-title":"Continuous electroencephalographic monitoring and selective shunting reduces neurologic morbidity rates in carotid endarterectomy","volume":"25","author":"Plestis","year":"1997","journal-title":"J Vasc Surg"},{"issue":"3","key":"10.1016\/j.clinph.2020.03.037_b0180","doi-asserted-by":"crossref","first-page":"276","DOI":"10.1227\/00006123-198309000-00011","article-title":"Computerized electroencephalogram monitoring and carotid artery shunting","volume":"13","author":"Rampil","year":"1983","journal-title":"Neurosurgery"},{"issue":"6","key":"10.1016\/j.clinph.2020.03.037_b0185","doi-asserted-by":"crossref","first-page":"1580","DOI":"10.1161\/STROKEAHA.116.016233","article-title":"Early endarterectomy carries a lower procedural risk than early stenting in patients with symptomatic stenosis of the internal carotid artery: results from 4 randomized controlled trials","volume":"48","author":"Rantner","year":"2017","journal-title":"Stroke"},{"issue":"9","key":"10.1016\/j.clinph.2020.03.037_b0190","doi-asserted-by":"crossref","first-page":"1819","DOI":"10.1016\/j.clinph.2018.05.018","article-title":"Diagnostic value of somatosensory evoked potential changes during carotid endarterectomy for 30-day perioperative stroke","volume":"129","author":"Reddy","year":"2018","journal-title":"Clin Neurophysiol"},{"issue":"2","key":"10.1016\/j.clinph.2020.03.037_b0195","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1227\/00006123-199202000-00007","article-title":"Correlation of contralateral stenosis and intraoperative electroencephalogram change with risk of stroke during carotid endarterectomy","volume":"30","author":"Redekop","year":"1992","journal-title":"Neurosurgery"},{"issue":"6","key":"10.1016\/j.clinph.2020.03.037_b0200","doi-asserted-by":"crossref","first-page":"772","DOI":"10.1016\/j.amjsurg.2004.08.037","article-title":"Cerebral protection during carotid endarterectomy","volume":"188","author":"Reuter","year":"2004","journal-title":"Am J Surg"},{"issue":"3","key":"10.1016\/j.clinph.2020.03.037_b0205","doi-asserted-by":"crossref","first-page":"347","DOI":"10.1017\/S0317167100003437","article-title":"Comparison of monitoring techniques for intraoperative cerebral ischemia","volume":"31","author":"Rowed","year":"2004","journal-title":"Can J Neurol Sci"},{"issue":"5","key":"10.1016\/j.clinph.2020.03.037_b0210","doi-asserted-by":"crossref","first-page":"481","DOI":"10.1177\/096721099700500510","article-title":"Selective shunting with EEG monitoring is safer than routine shunting for carotid endarterectomy","volume":"5","author":"Salvian","year":"1997","journal-title":"Cardiovasc Surg"},{"issue":"3","key":"10.1016\/j.clinph.2020.03.037_b0215","doi-asserted-by":"crossref","first-page":"230","DOI":"10.1053\/j.semvascsurg.2004.06.005","article-title":"Carotid endarterectomy with routine electroencephalography and selective shunting","volume":"17","author":"Schneider","year":"2004","journal-title":"Semin Vasc Surg"},{"issue":"6","key":"10.1016\/j.clinph.2020.03.037_b0220","doi-asserted-by":"crossref","first-page":"1374","DOI":"10.1016\/j.jvs.2009.02.206","article-title":"Predictors of shunt during carotid endarterectomy with routine electroencephalography monitoring","volume":"49","author":"Tan","year":"2009","journal-title":"J Vasc Surg"},{"issue":"4","key":"10.1016\/j.clinph.2020.03.037_b0225","doi-asserted-by":"crossref","first-page":"323","DOI":"10.1177\/000313489906500407","article-title":"Nonendarterectomy procedures of the carotid artery: a five-year review","volume":"65","author":"Taylor","year":"1999","journal-title":"Am Surg"},{"issue":"3","key":"10.1016\/j.clinph.2020.03.037_b0230","doi-asserted-by":"crossref","first-page":"339","DOI":"10.1227\/00006123-198903000-00005","article-title":"Selective shunting during carotid endarterectomy based on two-channel computerized electroencephalographic\/compressed spectral array analysis","volume":"24","author":"Tempelhoff","year":"1989","journal-title":"Neurosurgery"},{"key":"10.1016\/j.clinph.2020.03.037_b0235","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.jocn.2015.08.014","article-title":"Diagnostic accuracy of EEG changes during carotid endarterectomy in predicting perioperative strokes","volume":"25","author":"Thirumala","year":"2016","journal-title":"J Clin Neurosci"},{"issue":"1","key":"10.1016\/j.clinph.2020.03.037_b0240","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1179\/174313206X153798","article-title":"Hemodynamic cerebral ischemia during carotid endarterectomy evaluated by intraoperative monitoring and post-operative diffusion-weighted imaging","volume":"29","author":"Uno","year":"2007","journal-title":"Neurol Res"},{"issue":"3\u20134","key":"10.1016\/j.clinph.2020.03.037_b0245","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1007\/BF01424561","article-title":"The value of continuous intra-operative EEG monitoring during carotid endarterectomy","volume":"91","author":"van Alphen","year":"1988","journal-title":"Acta Neurochir (Wien)"},{"issue":"3","key":"10.1016\/j.clinph.2020.03.037_b0250","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1097\/WNP.0000000000000272","article-title":"EEG Monitoring in Cerebral Ischemia: Basic Concepts and Clinical Applications","volume":"33","author":"van Putten","year":"2016","journal-title":"J Clin Neurophysiol"},{"issue":"12","key":"10.1016\/j.clinph.2020.03.037_b0255","doi-asserted-by":"crossref","first-page":"3484","DOI":"10.1161\/STROKEAHA.111.624155","article-title":"Age and outcomes after carotid stenting and endarterectomy: the carotid revascularization endarterectomy versus stenting trial","volume":"42","author":"Voeks","year":"2011","journal-title":"Stroke"},{"issue":"8","key":"10.1016\/j.clinph.2020.03.037_b0260","doi-asserted-by":"crossref","first-page":"529","DOI":"10.7326\/0003-4819-155-8-201110180-00009","article-title":"QUADAS-2: a revised tool for the quality assessment of diagnostic accuracy studies","volume":"155","author":"Whiting","year":"2011","journal-title":"Ann Intern Med"},{"issue":"6","key":"10.1016\/j.clinph.2020.03.037_b0265","doi-asserted-by":"crossref","first-page":"707","DOI":"10.1097\/00000658-198306000-00009","article-title":"Routine electroencephalographic (EEG) monitoring during carotid endarterectomy","volume":"197","author":"Whittemore","year":"1983","journal-title":"Ann Surg"},{"issue":"6","key":"10.1016\/j.clinph.2020.03.037_b0270","doi-asserted-by":"crossref","DOI":"10.1227\/01.neu.0000306094.15270.40","article-title":"Selective versus routine intraoperative shunting during carotid endarterectomy: a multivariate outcome analysis","volume":"61","author":"Woodworth","year":"2007","journal-title":"Neurosurgery"}],"container-title":["Clinical Neurophysiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1388245720301449?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1388245720301449?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,25]],"date-time":"2025-10-25T11:59:48Z","timestamp":1761393588000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1388245720301449"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,7]]},"references-count":54,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2020,7]]}},"alternative-id":["S1388245720301449"],"URL":"https:\/\/doi.org\/10.1016\/j.clinph.2020.03.037","relation":{},"ISSN":["1388-2457"],"issn-type":[{"value":"1388-2457","type":"print"}],"subject":[],"published":{"date-parts":[[2020,7]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Diagnostic accuracy of various EEG changes during carotid endarterectomy to detect 30-day perioperative stroke: A systematic review","name":"articletitle","label":"Article Title"},{"value":"Clinical Neurophysiology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.clinph.2020.03.037","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2020 International Federation of Clinical Neurophysiology. Published by Elsevier B.V. All rights reserved.","name":"copyright","label":"Copyright"}]}}