Local anesthesia and intraoperative quality control in carotid surgery
Since indication for carotid endarterectomy in symptomatic as well as in asymptomatic patients is well defined by recent randomised clinical studies (NASCET, ECST, ACAS) our aim must be to reduce perioperative mortality and morbidity to acceptable limits. To show significant benefits of surgical therapy during the first 2 years, it is necessary to reach a stroke rate/death rate of less than 3 %.
KeywordsCarotid Endarterectomy Carotid Stenosis Asymptomatic Carotid Carotid Surgery Vein Patch
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- 2.Bergeron P, Benichou H, Rudondy P et al. (1991) Stroke prevention during carotid surgery in high risk patients. J cardiovasc Surg 32:713–9Google Scholar
- 3.Davies MJ, Murell GC, Cronin KD et al. (1990) Carotid endarterectomy under cervical plexus block: a prospective clinical audit, Anaest Intensive Care 18:219–23Google Scholar
- 5.Executive Committee for the Asymptomatic Carotid Atherosclerosis Study. Endarterectomy for asymptomatic carotid artery stenosis. JAMA 273:1421–8Google Scholar
- 6.Fried KS, Elias SM, Raggi R (1990) Carotid endarterectomy under locak anesthesia. N Eng J Med 87:795–7Google Scholar
- 7.North American Symptomatik Carotid Endarterectomy Trial Collaborators. Beneficial effect of carotid endarterectomy in symtomatic patients with high-grade carotid stenosis. New Engl J Med 325:445–507Google Scholar
- 8.Pruitt JC (1983) 1009 Consecutive carotid endarterectomies using local anesthesia. EEG and selective shunting with the Pruitt Inahara carotid shunt. Contemp Surg 23:49–58Google Scholar