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[Carotid endarterectomy under regional anesthesia: initial experience]
R Mertens1, R Canessa, F Valdés
1Departamentos de Enfermedades Cardiovasculares y Anestesiología, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.
Revista Medica De Chile
|July 7, 2000
Summary
Carotid endarterectomy under regional anesthesia is a safe and effective procedure for critical carotid artery stenosis. This less invasive approach offers excellent patient outcomes and rapid recovery.
Area of Science:
- Vascular Surgery
- Anesthesiology
- Neurology
Context:
- Internal carotid artery critical stenosis is a significant risk factor for stroke.
- Carotid endarterectomy is the gold standard treatment.
- Regional anesthesia is proposed as an alternative to general anesthesia.
Purpose:
- To evaluate the initial experience with carotid endarterectomy performed under regional anesthesia.
- To assess the safety and efficacy of this anesthetic technique.
Summary:
- Twenty-two carotid endarterectomies were performed under regional anesthesia in 21 patients.
- The procedure involved deep cervical and superficial blocks using lidocaine and bupivacaine.
- No mortality or complications were observed, with most patients discharged within 72 hours.
Impact:
- Regional anesthesia for carotid endarterectomy is less invasive and well-tolerated by patients.
- This technique demonstrates excellent results and potential for faster recovery.
- Supports the use of regional anesthesia as a viable option for select patients.