Department of Vascular Surgery, Ajaccio Teaching Hospital, Ajaccio, France
Research Article
A Comparison of Locoregional versus General Anesthesia in Patients Undergoing Carotid Endarterectomy: A Retrospective Single-Center Study
Author(s): Reda El Bayoumy*, Marc Cesarini, Mathieu Besnard and Arnauld Casanova
Objective: Carotid Endarterectomy (CEA) reduces the risk of stroke in patients with asymptomatic and symptomatic
extracranial carotid artery stenosis. Modern medical management of extracranial carotid artery stenosis has proven
its efficacy and safety; therefore, a low perioperative risk in both anesthesia and surgery is paramount. Outcomes may
depend on whether Locoregional Anesthesia (LA) or General Anesthesia (GA) is used. The optimal anesthetic for
CEA is controversial. To determine whether the anesthetic method correlated with the outcome of the operation,
a retrospective review of 2000 consecutive carotid operations performed over a 10-year period was performed. The
aim of our study was to assess the perioperative risks of CEA under locoregional anesthesia compared to those under
general anesthesia.
The primary endpoint was the clini.. View more»