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Simultaneous Bilateral Carotid Endarterectomy under Cervical Plexus Blockade

Ali Sait Kavaklı1, Raif Umut Ayoğlu2, Nilgün Kavrut Öztürk1

  • 1Clinic of Anaesthesiology and Reanimation, Antalya Training and Research Hospital, Antalya, Turkey.

Turkish Journal of Anaesthesiology and Reanimation
|July 2, 2016
PubMed

Insights

Simultaneous bilateral carotid endarterectomy is a safe procedure for select patients with severe carotid artery stenosis. Regional anesthesia, specifically cervical plexus blockade, offers advantages in monitoring neurological status and reducing hospital stay.

Area of Science:

  • Vascular Surgery
  • Neurology
  • Anesthesiology

Background:

  • Severe carotid artery stenosis with transient ischemic attack (TIA) necessitates effective treatments like carotid endarterectomy.
  • Patients with contralateral carotid artery lesions face increased risks of neurological complications during surgery.

Observation:

  • Simultaneous bilateral carotid endarterectomy can be performed safely by experienced teams in carefully selected patients.
  • Regional anesthesia, utilizing cervical plexus blockade, allows for intra-operative neurological assessment and guides shunt usage.
  • This anesthetic technique is cost-effective, reliable, and reduces intensive care unit and hospital stays.

Findings:

  • Bilateral carotid endarterectomy under cervical plexus blockade is feasible and safe.
  • Regional anesthesia facilitates real-time neurological monitoring during the procedure.
  • Careful dose adjustment is crucial to prevent nerve-related complications during bilateral procedures.

Implications:

  • Cervical plexus blockade offers a safe and effective anesthetic option for bilateral carotid endarterectomy.
  • This approach may lead to reduced healthcare costs and improved patient outcomes.
  • Further research into anesthetic techniques for complex cerebrovascular procedures is warranted.

Keywords:
Cervical plexuscarotid endarterectomycarotid stenosisnerve block

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