Carotid endarterectomy: a comparison on general and local anesthesia

Authors : Faruk TOKTAS, Tugrul GONCU, Suleyman SURER, Gunduz YUMUN, Kadir OZSİN, Burak ERDOLU, Senol YAVUZ, Arif GUCU

Pages : 39-43

Doi:10.18621/eurj.2015.1.2.39

View : 41 | Download : 11

Publication Date : 2015-07-04

Article Type : Research Paper

Abstract :Objective.  Carotid endarterectomy insert ignore into journalissuearticles values(CEA); reduces disabling or fatal stroke risk in patients with significant carotid stenosis. The aim of this study was to compare the results of CEA performed under general anesthesia insert ignore into journalissuearticles values(GA); or local anesthesia insert ignore into journalissuearticles values(LA); in patients with symptomatic severe carotid artery stenosis.  Method.  We retrospectively collected the data on 64 patients who underwent CEA under GA insert ignore into journalissuearticles values(47 patients); and LA insert ignore into journalissuearticles values(17 patients); at our hospital from January 2010 to January 2014. All clinical, demographics, preoperative risk factors and postoperative data were compared for postoperative results. Surgical indications, techniques, and complications were also compared.  Results.  The groups were similar for age, gender and preoperative risk factors. There were no significant differences in death insert ignore into journalissuearticles values(GA: 4.2% vs. LA: 0%; p =1.0);, stroke insert ignore into journalissuearticles values(GA: 4.2% vs. LA: 0%; p=1.0);, death/ stroke rate insert ignore into journalissuearticles values(GA: 2.1% vs. LA: 0%; p=1.0);, nerve injury insert ignore into journalissuearticles values(GA: 2.1% vs. LA: 5.8%; p=0.464);, saphenous vein patch closure insert ignore into journalissuearticles values(GA: 83% vs. LA: 59%; p=0.051);, shunt rate insert ignore into journalissuearticles values(GA: 8.5% vs. LA: 6 %; p=1.0);, hospital stay insert ignore into journalissuearticles values(GA: 8.2±5.7 day vs. LA: 6.2±2.9 day, p=0.275);, hematoma rate insert ignore into journalissuearticles values(GA: 0 %vs. LA: 5.8%; p =0.266); and transient ischemic attack rate insert ignore into journalissuearticles values(GA: 4.2% vs. LA: 0%; p=1.0); between the two techniques. Mortality occurred in two patients insert ignore into journalissuearticles values(both in the GA group); due to stroke and myocardial infarction. Conclusion. Carotid endarterectomy performed safely under general or local anesthesia is associated with low morbidity and mortality rates. Local anesthesia can be a safe option for evaluating the better neurological status during operation.
Keywords : Carotid endarterectomy, general anesthesia, local anesthesia, carotid artery stenosis

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