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- Title
Carotid Endarterectomy Under Local Anesthesia: The Safer Alternative?
- Authors
Schwartz, Robert A.; Peterson, Gary J.; Stern, John A.; Naunheim, Keith S.
- Abstract
Carotid endarterectomy can be successfully accomplished using either local or general anesthesia. The purpose of this study was to attempt to discern any differences in perioperative morbidity associated with the two anesthetic techniques. A retrospective review was undertaken of 324 consecutive carotid endarterectomies performed by fifteen surgeons between 1979 and 1985. There were no significant differences in preoperative cardiac, pulmonary, or renal risk factors between the two anesthetic groups. Postoperative fever (p < 0.005), pulmonary complications (p < 0.05), and neurologic morbidity (p < 0.05) occurred significantly more frequently in the general anesthesia group. The duration of postoperative hospitalization was shorter (p < 0.0005) in the local anesthetic cohort (3.1 ± 2.3 days) than in the general anesthetic group (5.1 ± 8.07 days). Local anesthesia for carotid endarterectomy appeared to result in less morbidity and shorter hospitalization when compared with general anesthesia. There did not appear to be any cerebral protective effect of general anesthesia during carotid endarterectomy.
- Subjects
CAROTID artery; ARTERIES; ENDARTERECTOMY; ARTERIAL surgery; LOCAL anesthesia
- Publication
Vascular Surgery, 1988, Vol 22, Issue 6, p380
- ISSN
0042-2835
- Publication type
Article
- DOI
10.1177/153857448802200602