Simultaneous Bilateral Carotid Endarterectomy under Cervical Plexus Blockade

It is a cheap, reliable and easy method that reduces the length of stay in the intensive care unit and in the hospital and may influ- ence the overall cost of care.

📌 3 Key Takeaways

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Objective & Hypothesis:In patients with severe carotid artery stenosis who developed tran- sient ischemic attack, carotid endarterectomy is one of the most effective treatments.

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Key Findings & Data:In particular, in patients with contralateral carotid artery lesions, there is a risk of serious neurologic compli- cations during the intra-operative period.

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Conclusion & Impact:It is a cheap, reliable and easy method that reduces the length of stay in the intensive care unit and in the hospital and may influ- ence the overall cost of care.

🔬Design:Research Article

📍Scope:Comprehensive Sample

⚙️Variables:Domain Parameters

Abstract

In patients with severe carotid artery stenosis who developed tran- sient ischemic attack, carotid endarterectomy is one of the most effective treatments. In particular, in patients with contralateral carotid artery lesions, there is a risk of serious neurologic compli- cations during the intra-operative period. Experienced staff can perform simultaneous bilateral carotid endarterectomy safely in carefully selected patients. The advantages of regional anaesthesia in carotid endarterectomy are evaluation of intra-operative neuro- logical condition and defining correct indications for shunt usage. It is a cheap, reliable and easy method that reduces the length of stay in the intensive care unit and in the hospital and may influ- ence the overall cost of care. However, it is important to make dose adjustments to avoid potential complications of nerve in- volvement during bilateral procedure. In this case report, we share our experiences regarding bilateral carotid endarterectomy under cervical plexus blockade

Özet

Geçici iskemik atak geçirmiş ve ciddi karotis arter darlığı bulunan hastalarda halen karotis endarterektomisi en etkin tedavi yöntem- lerinden biridir. Özellikle karşı taraf karotis arterinde de lezyonu bulunan hastalar intraoperatif ciddi nörolojik komplikasyon riski altındadır. Eş zamanlı bilateral karotis endarterektomileri dene- yimli ekip ve uygun hasta seçimiyle güvenle yapılabilmektedir. Karotis endarterektomilerinde rejyonal anestezinin avantajları int- raoperatif nörolojik durumu değerlendirebilme ve doğru şant en- dikasyonunu koyabilmeye olanak sağlamasıdır. Ucuz, güvenilir ve kolay bir yöntem olduğu kadar hastanede ve yoğun bakımda kalış süresini kısaltarak hastane maliyetini de düşürür. Özellikle bila- teral uygulamalar sırasında sinir tutulumlarının olası komplikas- yonlarından kaçınmak için doz ayarlaması yapılması önemlidir. Bu olgu sunumunda servikal pleksus blokajı ile yapılan bilateral karotis endarterektomisi deneyimimizi paylaştık

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Cite This Article

KAVAKLİ, A. S., AYOĞLU, R. U., ÖZTÜRK, N. K., SAĞDIÇ, K., YILMAZ, M., İNANOĞLU, K., EMMİLER, M. (2015). Simultaneous Bilateral Carotid Endarterectomy under Cervical Plexus Blockade. Turkish Journal of Anaesthesiology and Reanimation, Cilt: 43 - Sayı: 5, 367–370. https://ajindex.com/articles/370326

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