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Carotid endarterectomy: results using regional anesthesia
The American Surgeon
|July 1, 1980
Summary
Regional anesthesia for carotid endarterectomy allows awake neurologic monitoring to determine shunt necessity. This technique, used in 10% of cases, demonstrated low stroke and mortality rates, supporting its safety.
Area of Science:
- Neurosurgery
- Vascular Surgery
- Anesthesiology
Background:
- Carotid endarterectomy is a procedure to remove plaque from carotid arteries.
- Regional anesthesia offers potential benefits for patient monitoring during surgery.
Purpose of the Study:
- To review carotid endarterectomies performed under regional anesthesia.
- To evaluate the safety and efficacy of awake neurologic monitoring for shunt selection.
Main Methods:
- Retrospective review of 165 carotid endarterectomies.
- Utilized simple neurologic monitoring of awake patients to assess the need for an internal carotid artery shunt.
Main Results:
- Internal carotid artery shunts were required in only 10% of cases.
- Reported stroke rate was 3.6%.
- Reported mortality rate was 1.2%.
Conclusions:
- Simple neurologic monitoring in awake patients is effective for determining shunt needs during carotid endarterectomy.
- The technique demonstrates favorable safety with low stroke and mortality rates.