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Updated: May 23, 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
Local anesthesia and exposure for carotid endarterectomy: background and technical realization
J Falkensammer1, N Duschek, E Skrinjar
1Department of Vascular Surgery, Wilhelminenhospital, Vienna, Austria. juergen.falkensammer@alumni.mayo.edu
Abstract:
While carotid endarterectomy is an established method for the treatment of symptomatic as well as high-grade asymptomatic carotid artery stenoses, there is a considerable variation concerning the kind of anesthesia used as well as technical details of the operation. In the present article differing arguments on local versus general anesthesia as well as a transverse versus a longitudinal skin incision will be discussed. Furthermore, possible access routes to the carotid bifurcation, the retrojugular compared to the ventrojugular approach, will be presented in detail.
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