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Updated: Apr 4, 2026

A Magnetic Resonance Imaging-based Computational Protocol for Analysis of Plaque Morphology and Hemodynamics in Patients with Carotid Artery Stenosis
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Regional cervical plexus blockage for carotid endarterectomy in patients with cardiovascular risk factors

Mehmet Taşar1, Mehmet Kalender2, Okay Güven Karaca3

  • 1Cardiovascular Surgery Department, Ankara University School of Medicine, Ankara, Turkey.

The Heart Surgery Forum
|September 4, 2015
PubMed

Insights

Carotid endarterectomy under regional anesthesia is safe for patients with cardiac risk factors. This procedure showed comparable neurological and cardiovascular outcomes across different risk groups, suggesting its viability.

Area of Science:

  • Vascular Surgery
  • Anesthesiology
  • Cardiology

Background:

  • Carotid artery disease frequently coexists with cardiac conditions.
  • Patients with cardiac risk factors undergoing carotid endarterectomy face increased complication risks.
  • Regional anesthesia presents a potential alternative for managing these challenging cases.

Purpose of the Study:

  • To evaluate the safety and efficacy of carotid endarterectomy performed under regional anesthesia in patients with cardiovascular risk factors.
  • To compare outcomes among patients stratified by cardiovascular risk levels.

Main Methods:

  • A retrospective analysis of 129 carotid endarterectomies (± patch plasty) performed between 2006 and 2014.
  • Patients received combined cervical plexus block anesthesia.
  • Outcomes were compared across high, moderate, and low cardiovascular risk groups.

Main Results:

  • The overall rate of cerebrovascular accident was 5.55% (7 patients), with no significant inter-group differences.
  • Mortality occurred in 4.76% (6 patients), higher in the high-risk group but not statistically significant.
  • Bleeding requiring revision occurred in 3.17% (4 patients); no postoperative surgical infections were reported.

Conclusions:

  • Carotid endarterectomy can be safely executed using regional cervical anesthesia across all cardiovascular risk strata.
  • Further comparative research between general and regional anesthesia for this procedure is warranted.
Abstract

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