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Published on: August 12, 2014
Anesthesia for Carotid Endarterectomy, Angioplasty, and Stent
Priscilla Nelson1, Maria Bustillo1
1Department of Anesthesiology, Weill Cornell Medicine, Weill Cornell Medical College, 525 East 68th Street, Box 124, New York, NY 10065, USA.
Abstract:
Anesthetic management of carotid artery disease requiring carotid endarterectomy or carotid stenting is complex and varies widely, but relies on excellent communication between the anesthesia and surgical team throughout the procedure to ensure appropriate cerebral perfusion. With a systematic approach to vascular access and hemodynamic and neurologic monitoring, anesthesia can be applied to maximize cerebral perfusion while minimizing the risk of postoperative hemorrhage or hyperperfusion.
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