Carotid Endarterectomy: A Comparison on General and Local Anesthesia

Toktaş, Faruk; Goncu, Tugrul; Surer, Suleyman; Yümün, Gündüz; Özsin, Kadir Kaan; Erdolu, Burak; Yavuz, Şenol; Gücü, Arif

doi:10.18621/eurj.2015.1.2.39

Cited by 3 publications

(3 citation statements)

References 20 publications

(21 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In our study, no mortality was seen in any patient. In a study by Toktas et al [25] comparing GA and LA methods, 2 patients died in GA group. Some studies reported no significant difference between the two methods in terms of mortality [26][27][28].…”

Section: Discussionmentioning

confidence: 98%

Local or general anesthesia for carotid endarterectomy: Which anesthesia technique should be preferred?

Çayır¹,

Yüksel²

2020

Journal of Surgery and Medicine

View full text Add to dashboard Cite

Aim: Carotid endarterectomy is performed in order to prevent disability or fatal stroke in patients with carotid stenosis. The objective of this study was to analyze and compare patients undergoing carotid endarterectomy under general or local anesthesia, and to determine whether the local anesthesia method is superior to general anesthesia in terms of postoperative morbidity and mortality. Methods: A total of 80 patients who underwent carotid endarterectomy due to significant carotid arterial stenosis under general or local anesthesia in the cardiovascular surgery clinic of our hospital between November 2016 and January 2019 were included in this prospective cohort study. Forty carotid endarterectomy operations were performed under general anesthesia and 40 under local anesthesia. The study groups were divided as the general anesthesia group and local anesthesia group. Both groups were compared in terms of sociodemographic characteristics, preoperative risk factors, postoperative complications, operation time and length of hospital stay. Results: No statistically significant difference was found between the two groups in terms of age and gender (P=0.665, P=0.636; respectively). The groups were similar in terms of the rate of asymptomatic patients, stroke or myocardial infarction, postoperative complications including minor stroke, cranial nerve damage, hematoma and internal carotid artery occlusion (P=0.264, P=0.780,P=1.000, P=0.870, P=0.870, P=1.000, P=0.723, respectively). The mean operation time and length of hospital stay were statistically significantly shorter in the local anesthesia group compared to general anesthesia group (P<0.001, P=0.655; respectively). Conclusion: Local anesthesia provided shorter operation time and length of hospital stay for carotid endarterectomy procedure. Further comprehensive prospective studies are needed to clarify benefits of the use of local anesthesia for carotid endarterectomy.

show abstract

Section: Discussionmentioning

confidence: 98%

Local or general anesthesia for carotid endarterectomy: Which anesthesia technique should be preferred?

Çayır¹,

Yüksel²

2020

Journal of Surgery and Medicine

View full text Add to dashboard Cite

show abstract

“…On the other hand CEA could performed under local anesthesia. Toktas et al [25] demonstrated that CEA procedure with local anesthesia may provide better assessment of neurological status during operation. Whereas all procedure were performed under general anesthesia in this study.…”

Section: Discussionmentioning

confidence: 99%

Silent cerebral embolism after carotid endarterectomy: a two-center experience

Göde¹,

Yalvac²,

Aşık³

et al. 2017

The European Research Journal

View full text Add to dashboard Cite

Objectives. Carotid endarterectomy (CEA) is considered the most effective treatment for stroke prevention in patients with critical carotid stenosis. The incidence of new ischemic lesions ranges from 0% to 33% at diffusion-weighted magnetic resonance imaging (DW-MRI) after CEA in previous studies. We determined the rate of silent cerebral embolism in CEA patients by DW-MRI in this study. Methods. This study was conducted between January 2016 and April 2016 in two centers. Thirty-five consecutive patients (three with bilateral) with 38 CEAs were included in the study. There were no new postoperative symptoms in all patients. Preoperative and postoperative brain DW-MRIs were performed within one day preoperatively and second day postoperatively. Two DW-MRIs were screened and compared in terms of newly occurring lesions. Thus, we attempted to find the rate of silent cerebral embolism. Results. New brain lesions were detected in six (6/38 CEAs; 15.8%) cases with unilateral CEAs. All of these lesions were ischemic. In five cases, new lesions were located within the operated carotid artery territory (ipsilateral parietal lobe). However, in one case, a new lesion was located outside of the operated carotid artery territory (ipsilateral occipital lobe). Thirty-day morbidity and mortality rates were 0% and 2.85% (1/35), respectively. Conclusion. Silent cerebral embolisms may frequently occur during postoperative period in CEA patients. Even if these lesions are asymptomatic, we have to be rigorous to avoid microembolism during all stages during surgery.

show abstract

“…The European Research Journal 2019;5 (1):159-165 arotid artery stenosis (CAS) is a serious vascular problem for whole population and also an important cause of strokesparticularly in the elderly people [1]. In order to prevent these complications, it is necessary to intervene in symptomatic patients who have severe CAS [2]. In asymptomatic CAS, the incidence of stroke increases by 0.35-5%, and also the incidence and mortality of acute cardiovascular disease significantly increase [3].…”

mentioning

confidence: 99%

Effect of lipid parameters on carotid artery disease progression in patients undergoing carotid endarterectomy and unoperated patients with non-severe carotid artery stenosis

Özsin

Sanrı

Toktaş

et al. 2019

The European Research Journal

View full text Add to dashboard Cite

Objectives:We aim to evaluate the relationship between serum lipid indices and carotid artery stenosis (CAS). Methods: This retrospective observational study included patients who underwent carotid endarterectomy (CEA) and unoperated patients who have CAS less than 50%. CAS was diagnosed with history and physical examination followed by doppler ultrasonography, coronary and carotid angiography. All data retrieved retrospectively from the hospital medical files. Non-high-density lipoprotein-cholesterol (non-HDL-C) level was calculated by removing HDL-C from total cholesterol. In addition, low-density lipoprotein-cholesterol (LDL-C)/HDL-C ratio, non-HDL-C/HDL-C ratio, and triglyceride (TG)/HDL-C ratio were assessed. Results: CEA group (77.5% male, mean age: 71.35 ± 8.35 years) included 40 patients who underwent CEA, and there were 32 patients who have less than 50% CAS in unoperated group (68.8% male, mean age: 63.94 ± 9.92 years). The development of CAS was not significantly correlated with LDL-C/HDL-C ratio (p = 0.119), non-HDL-C/HDL-C ratio (p = 0.227) and TG/HDL-C ratio (p = 0.768). Advanced age and presence of coronary artery disease were identified as an independent predictor of the development of CAS. For predicting development of CAS, there were 50.0% sensitivity and 65.6% specificity for LDL-C/HDL-C ratio and non-HDL-C/ HDL-C ratio (area under the curve [AUC]: 0.592, log rank p = 0.183, AUC: 0.583, log rank p = 0.227, respectively). Conclusions:We found that lipid ratios were not an independent predictors of the development of CAS. But, we think that AUC values which were above 0.5 for lipid ratios are may be important development of CAS.

show abstract

Carotid Endarterectomy: A Comparison on General and Local Anesthesia

Cited by 3 publications

References 20 publications

Local or general anesthesia for carotid endarterectomy: Which anesthesia technique should be preferred?

Local or general anesthesia for carotid endarterectomy: Which anesthesia technique should be preferred?

Silent cerebral embolism after carotid endarterectomy: a two-center experience

Effect of lipid parameters on carotid artery disease progression in patients undergoing carotid endarterectomy and unoperated patients with non-severe carotid artery stenosis

Contact Info

Product

Resources

About