Carotid Endarterectomy in Awake Patient: Review Article

Abstract

Cardiac mortality and morbidity in patients undergoing carotid surgery is between 0.7% and 7.1%. Although surgical techniques used in carotid surgery varies, there are differences in anesthesia techniques and the results are different. The advantages and disadvantages of anesthesia techniques are discussed in several studies and various results have been obtained. These different results involve the acquisition or loss of anesthesia technique, even if the patient group is the same. Carotid surgery under loco/regional anaesthesia may be thought easy. Although the complex structure of the head and neck region takes difficulty of during surgery, direct cerebral monitorization in the awake patient increases the success rate of the surgery. In this review we will explain the carotid endarterectomy management in the awake patient.