[Carotid endarterectomy under local anesthesia].

Area of Science:

• Vascular Surgery
• Neurology
• Cardiovascular Medicine

Context:

• Carotid atherosclerosis significantly contributes to cerebrovascular insufficiency.
• Carotid endarterectomy (CEAE) is a surgical intervention to address carotid artery blockages.
• Assessing the safety and efficacy of CEAE in patients with varying degrees of cerebrovascular insufficiency is crucial.

Purpose:

• To analyze the outcomes of carotid endarterectomy (CEAE) in male patients with carotid atherosclerosis and varying degrees of cerebrovascular insufficiency.
• To evaluate the safety and effectiveness of CEAE performed under local anesthesia.
• To determine the reliability of cerebral circulation control during CEAE through direct patient monitoring.

Summary:

• A total of 253 CEAEs were performed on 193 male patients (mean age 53.6 years) with carotid atherosclerosis.
• The study reported a low mortality rate (3 patients) and a low incidence of non-fatal stroke (1 patient) in the early postoperative period.
• No intraoperative cerebral complications occurred, highlighting the effectiveness of direct patient contact for monitoring cerebral circulation.

Impact:

• The findings suggest that CEAE is a reliable surgical option for managing cerebrovascular insufficiency caused by carotid atherosclerosis.
• The study underscores the importance of direct patient contact for real-time cerebral circulation monitoring during CEAE.
• This research contributes to the understanding of CEAE's safety profile and effectiveness in a specific patient cohort.