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Updated: Jul 4, 2026

Bilateral Common Carotid Artery Occlusion as an Adequate Preconditioning Stimulus to Induce Early Ischemic Tolerance to Focal Cerebral Ischemia
Published on: May 9, 2013
Report on initial experience with local anaesthesia for carotid artery endarterectomy
V Scavée1, O Detriche, P Van der Elst
1Department of Thoracic and Vascular Surgery, Clinique Saint-Pierre, Ottignies. vincent.scavee@skynet.be
Purpose Of The Study:
This prospective study reports our preliminary results with local anaesthesia (LA) for carotid endarterectomy (CEA).
Material And Methods:
Twenty CEA in nineteen patients were performed using a three-stage local infiltration technique. CEA were performed through a short Duplex-assisted skin incision (median length: 55 mm) using a retro-jugular approach and polyurethane patch closure (median length: 35 mm).
Results:
There were 13 men and 6 women with a mean age of 71.2 years. The indications of CEA were asymptomatic lesions in 11 cases, stroke in 7 cases and transient ischaemic attack in 2 cases. The median degree of internal carotid artery stenosis was 90%. One patient (5%) required an intraluminal shunt. There were no peri-operative deaths, stroke or conversion to general anaesthesia (GA). The median length of stay was 3 days.
Conclusions:
LA is a good alternative to GA. It can be used after a feasibility study and a short teaching procedure. In our centre, it is a safe and effective procedure associated with low morbidity, high acceptance by patients and a short hospital stay.
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