Lessons Learned During a 30-Year Experience With Combined Coronary Artery Bypass and Carotid Endarterectomy

Abstract

6% vs 13.1%; P < .0001), chronic obstructive pulmonary disease (24.3% vs 17.5%; P ¼ .001), and wound infection (15% vs 23.5%; P < .0001). After propensity matching, the cohort comprised 452 patients in the NAA group and 904 patients in the GA group with no difference in baseline characteristics. NAA was associated with reduced rate of ventilator requirement for >48 hours (2.4% vs 0.2%; P ¼ .0014), bleeding requiring transfusion (17.5% vs 8%; P < .0001), and overall morbidity (29.3% vs 19%; P < .0001) as well as with shorter length of hospital stay (6.8 6 9.3 days vs 5.3 6 6.1 days; P ¼ .0026) and total operating time (237.8 6 109 minutes vs 202.4 6 113 minutes; P < .0001) compared with GA (Table). Conclusions: NAA is an infrequently used anesthesia technique in patients with significant comorbidities undergoing hybrid LER. NAA is associated with decreased perioperative morbidities and hospital length of stay compared with GA and should be preferentially used in this population of patients.