Anesthesia for carotid endarterectomy: a review
Yepes Temiño MJ, Lillo Cuevas M.
Departamento de Anestesiología y Reanimación de la Clínica Universidad de Navarra, Clínica Universidad de Navarra, Pamplona
Cardiovascular diseases are associated with high rates of morbidity and mortality.
Carotid artery stenosis causes between 20% and 25% of ischemic strokes, especially when an embolism is the underlying cause. Carotid endarterectomy is the treatment of choice when stenosis exceeds 60%. It is important to have an understanding of how to manage perioperative factors that can decrease the risk of stroke, infarction, and death.
In contrast to the findings of earlier meta-analyses, the recent GALA trial of general versus local anesthesia concluded that the rates of stroke, myocardial infarction, and mortality during or soon after surgery are similar for both types of anesthesia.
CITATION Rev Esp Anestesiol Reanim. 2011 Jan;58(1):34-41