Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Carotid endarterectomy.

S J Howell1

  • 1Academic Unit of Anaesthesia, The General Infirmary at Leeds, Great George Street, Leeds LS1 3EX, UK. s.howell@leeds.ac.uk

British Journal of Anaesthesia
|June 9, 2007
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Polygenic risk scores to refine Breast cancer screening and prevention strategies.

Personalized medicine·2025
Same author

The smoke-free generation policy: policy analysis.

Perspectives in public health·2025
Same author

Capivasertib and fulvestrant for patients with hormone receptor-positive advanced breast cancer: characterization, time course, and management of frequent adverse events from the phase III CAPItello-291 study.

ESMO open·2024
Same author

Process, structural, and outcome quality indicators to support perioperative opioid stewardship: a rapid review.

Perioperative medicine (London, England)·2023
Same author

Tamoxifen evolution.

British journal of cancer·2023
Same author

The need for causal inference methods to answer causal questions.

Anaesthesia·2021
Same journal

Intravenous iron administration and management of adverse events: a systematic review and Network for the Advancement of Patient Blood Management, Haemostasis and Thrombosis consensus recommendations.

British journal of anaesthesia·2026
Same journal

Eye-tracking technology applied to regional anaesthesia task performance, safety and skill acquisition: a scoping review.

British journal of anaesthesia·2026
Same journal

Psychological factors associated with postoperative cognitive outcomes in older adults: reconciling adjusted effect estimates with P-value synthesis. Comment on Br J Anaesth 2026; 136: 1482-94.

British journal of anaesthesia·2026
Same journal

The long and winding road: a longitudinal study of UK anaesthetists in training.

British journal of anaesthesia·2026
Same journal

Association of cumulative fluid balance trajectories with haemodynamics, inflammation, and long-term mortality in critically ill patients with circulatory failure: bridging physiology and causal inference with target trial emulation. Comment on Br J Anaesth 2026; 136: 542-51.

British journal of anaesthesia·2026
Same journal

Risk of perioperative cardiorespiratory complications and mortality associated with preoperative glucagon-like peptide-1 receptor agonist use in type 2 diabetes mellitus. Comment on Br J Anaesth 2026; 136: 86-97.

British journal of anaesthesia·2026
See all related articles

Carotid endarterectomy (CEA) offers significant stroke prevention benefits. However, anesthesiologists face challenges managing high-risk patients with limited preparation time, impacting surgical outcomes.

Area of Science:

  • Vascular Surgery
  • Anesthesiology
  • Neurology

Background:

  • Carotid endarterectomy (CEA) is crucial for preventing embolic stroke in patients with carotid bifurcation atheromatous disease.
  • Early operation (within 2 weeks of symptoms) is supported by evidence, often presenting anesthesiologists with high-risk patients needing rapid preparation.

Purpose of the Study:

  • To review the anesthetic management of carotid endarterectomy (CEA).
  • To explore the advantages and disadvantages of local versus general anesthesia for CEA.
  • To discuss the role and limitations of carotid shunting and cerebral perfusion monitoring.

Main Methods:

  • Review of current evidence regarding anesthetic techniques for CEA.
  • Analysis of intraoperative and postoperative hemodynamic challenges.

Related Experiment Videos

  • Evaluation of cerebral protection strategies, including shunting and monitoring.

    • Main Results:

    • CEA provides significant benefits for stroke prevention.
    • Anesthetic management presents challenges due to patient risk and limited preparation time.
    • Carotid shunting offers potential protection but lacks proven mortality/morbidity reduction.
    • No ideal cerebral perfusion monitor exists for general anesthesia during CEA.
    • Hemodynamic instability (hypotension, hypertension) poses risks postoperatively.

    Conclusions:

    • Carotid endarterectomy is beneficial but poses significant anesthetic challenges.
    • Careful hemodynamic management is critical, especially postoperatively.
    • Further evidence is needed to guide management of hemodynamic complications.