Carotid endarterectomy under regional anesthesia.

Area of Science:

• Vascular Surgery
• Anesthesiology
• Neurosurgery

Background:

• Carotid endarterectomy is a critical procedure for stroke prevention.
• Evaluating anesthetic techniques is essential for patient safety and outcomes.

Purpose of the Study:

• To assess the efficacy and safety of regional anesthesia for carotid endarterectomy.
• To review a five-year experience with this anesthetic approach.

Main Methods:

• Retrospective review of carotid endarterectomy cases performed under regional anesthesia.
• Analysis of operative mortality and neurological deficit rates.

Main Results:

• No operating room deaths were recorded.
• Overall operative mortality was 2.6%.
• Transient and permanent neurological deficits occurred in 3.0% and 2.2% of cases, respectively.

Conclusions:

• Regional anesthesia provides satisfactory results for carotid endarterectomy.
• Outcomes are comparable to existing literature, supporting its use.