Locoregional Anesthesia for Carotid Endarterectomy: Identification of Patients with Intolerance to Cross-Clamping

Dellaretti, Marcos; Vasconcelos, Laura T. de; Dourado, Jules Carlos; Souza, Renata Ferreira de; Fontoura, Renato Rinco; Sousa, Atos Alves de

doi:10.1016/j.wneu.2015.11.097

Cited by 12 publications

(6 citation statements)

References 21 publications

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“…If patient has risk factors for CCI, GA is more suitable option as anaesthesic method because of risk for shunting or conversion to CAS (23) . On the other hand, Dellaretti et al demonstrated that locoregional anaesthesia is a safe method for identifying patients with CCI and the mean degree of contralateral carotis stenosis was associated with CCI (24) . Several CREST (Carotid Revascularization Endarterectomy versus Stenting Trial) showed that CAS was associated with a significantly higher risk of stroke, CEA is associated with higher incidence of MI.…”

Section: Introductionmentioning

confidence: 99%

Anesthesia Management for Carotid Endarterectomy: Review Article

Yilmaz¹

2019

ejcm

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Atherosclerotic carotid artery disease is responsible from 20% to 25% of ischemic stroke events. Open carotid surgery and stent insertion are two main types of treatment procedures. Carotid endarterectomy (CEA) can be performed under general anaesthesia, regional anaesthesia (interscalen block, cervical plexus block either by landmark technique or by US guidance), combination of general and regional anaesthesia, regional anaesthesia with combination of periferic block. The aim of all anesthesic techniques is to prevent pain during the three painful periods (1. Skin incision, 2. Insertion of a retromandibular retractor, 3. Perivascular preparation) during CEA). All techniques have their own advantages and disadvantages. But there is no certain data about which one is superior to other. There is no consensus on anaesthetic choice for CEA. At present regional anaesthesia versus general anaesthesia for patients undergoing CEA is still debate topic. Improvements in medical theraphy, use of cerebral monitoring, better timing for surgery after ischemic events, better surgical techniques, increased use of ultrasound for regional anaesthesia improve procedural outcomes. Despite these improvements, anaesthesia management is still deciding according to surgeon and anaesthesiologist preferences, the patient's satisfaction and the conditions in the hospitals where we work.

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Section: Introductionmentioning

confidence: 99%

Anesthesia Management for Carotid Endarterectomy: Review Article

Yilmaz¹

2019

ejcm

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“…[ 20 ] Despite this, regional anesthesia remains a safe method for identifying patients at risk for cross-clamping intolerance. [ 21 ]…”

Section: Methodsmentioning

confidence: 99%

General versus local anesthesia for carotid endarterectomy: Special considerations

et al. 2018

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“…109 The frequency of use of TIS during operations under RA is much lower and ranges from 2.4 to 13%. 119,[121][122][123] Other authors, during operations under GA, recommend installing TIS when the retrograde mean pressure in the ICA is below 40 mmHg. 124 During operations under RA, the main indication for shunt installation is the appearance of clinical signs of cerebral ischemia.…”

Section: Craniohypothermiamentioning

confidence: 99%

Analysis of the history of the search for methods of protecting the brain during operations on the internal carotid artery

Konyssov,

Batrashov,

Sukhareva

et al. 2023

BSK

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The review covers the first studies of the vessels of the brain. The history of the emergence and development of the doctrine of protecting the brain during operations on the carotid arteries is given. Experience has been accumulated in the development of the doctrine of surgical protection of the brain during primary operations on the carotid arteries and compression of the carotid arteries. The analysis of existing and existing methods was carried out. Based on the above analysis, ways of further development of methods of protecting the brain during operations on the carotid arteries are shown.

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Locoregional Anesthesia for Carotid Endarterectomy: Identification of Patients with Intolerance to Cross-Clamping

Cited by 12 publications

References 21 publications

Anesthesia Management for Carotid Endarterectomy: Review Article

Anesthesia Management for Carotid Endarterectomy: Review Article

General versus local anesthesia for carotid endarterectomy: Special considerations

Analysis of the history of the search for methods of protecting the brain during operations on the internal carotid artery

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