NIRS monitoring is suitable for monitoring during carotid endarterectomy for selective shunting, because it can be used throughout the operation and shows the immediate change in oxygenation. There is a possibility that a decrease of 5% can be used as a decisive value for shunt insertion.
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The corresponding record at NLM can be accessed at https://www.ncbi.nlm.nih.gov/pubmed/17622209