SavedAdd your journal

Journals / Turkish journal of vascular surgery / 2021 / Cilt: 30 - Sayı: 1

The effect of anesthesia technique in carotid endarterectomy: Regional versus general anesthesia

Ahmet Onat BERMEDE
Evren ÖZÇINAR
Ali İhsan HASDE
Bülent KAYA
Çağdaş BARAN
Haluk Çağlar KARAKAYA
Mustafa Serkan DURDU
Levent YAZICIOĞLU
Pages
42–48
Publication Date
2022-11-06
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The mean total operating time was significantly shorter in the RA group (92.5±7.7 min vs. 97.1±7.2 min, respectively; p

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objectives: The aim of this study was to evaluate the impact of anesthesia techniques on perioperative outcomes in patients undergoing carotid endarterectomy.
📊
Key Findings & Data:Patients and methods: This retrospective study included a total of 264 patients (164 males, 100 females; mean age 67.2 years; range, 58 to 84 years) who underwent carotid endarterectomy in our clinic between April 2016 and October 2019.
💡
Conclusion & Impact:The mean total operating time was significantly shorter in the RA group (92.5±7.7 min vs. 97.1±7.2 min, respectively; p
🔬Design:Research Article
📍Scope:2016 Verileri
⚙️Variables:Domain Parameters

Abstract

Objectives: The aim of this study was to evaluate the impact of anesthesia techniques on perioperative outcomes in patients undergoing carotid endarterectomy. Patients and methods: This retrospective study included a total of 264 patients (164 males, 100 females; mean age 67.2 years; range, 58 to 84 years) who underwent carotid endarterectomy in our clinic between April 2016 and October 2019. The patients were divided into two groups according to the type of anesthesia as those undergoing regional anesthesia (RA group, n=128) and those undergoing general anesthesia (GA group, n=136). Pre-, intra-, and postoperative data of the patients were evaluated. Results: The incidence of myocardial infarction and cerebral complications was similar between the groups (1.6% in RA group vs. 1.5% in GA group, p=1.00; 2.3% in RA group vs. 2.2% in GA group, p=1.00, respectively). The mean total operating time was significantly shorter in the RA group (92.5±7.7 min vs. 97.1±7.2 min, respectively; p

🔖

Cite This Article

BERMEDE, A. O., ÖZÇINAR, E., HASDE, A. İ., KAYA, B., BARAN, Ç., KARAKAYA, H. Ç., DURDU, M. S., YAZICIOĞLU, L. (2022). The effect of anesthesia technique in carotid endarterectomy: Regional versus general anesthesia. Turkish journal of vascular surgery, Cilt: 30 - Sayı: 1, 42–48. https://ajindex.com/articles/614491

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (14)

  1. Lutz HJ, Michael R, Gahl B, Savolainen H. Local versus general anaesthesia for carotid endarterectomy-- improving the gold standard ? Eur J Vasc Endovasc Surg 2008;36:145-9
  2. Rerkasem K, Bond R, Rothwell PM. Local versus general anaesthesia for carotid endarterectomy. Cochrane Database Syst Rev 2004;2:CD000126
  3. GALA Trial Collaborative Group, Lewis SC, Warlow CP, Bodenham AR, Colam B, Rothwell PM, et al. General anaesthesia versus local anaesthesia for carotid surgery (GALA): a multicentre, randomised controlled trial. Lancet 2008;372:2132-42
  4. Hajibandeh S, Hajibandeh S, Antoniou SA, Torella F, Antoniou GA. Meta-analysis and trial sequential analysis of local vs. general anaesthesia for carotid endarterectomy. Anaesthesia 2018;73:1280-9
  5. Paraskevas KI, Spence JD, Veith FJ, Nicolaides AN. Identifying which patients with asymptomatic carotid stenosis could benefit from intervention. Stroke 2014;45:3720-4
  6. Kondov S, Beyersdorf F, Schöllhorn J, Benk C, Rylski B, Czerny M, et al. Outcome of Near-Infrared SpectroscopyGuided Selective Shunting During Carotid Endarterectomy in General Anesthesia. Ann Vasc Surg 2019;61:170-7
  7. Hıdıroğlu M, Çetin L, Kunt A, Karakişi O, Küçüker A, Şener E. Early results of carotid endarterectomy for carotid artery diseases. Turk Gogus Kalp Dama 2010;18:190-5
  8. Stoneham MD. Regional or general anaesthesia for carotid endarterectomy. Eur J Anaesthesiol 2017;34:45-6
  9. Randomised trial of endarterectomy for recently symptomatic carotid stenosis: final results of the MRC European Carotid Surgery Trial (ECST). Lancet 1998;351:1379-87
  10. Orrapin S, Rerkasem K. Carotid endarterectomy for symptomatic carotid stenosis. Cochrane Database Syst Rev 2017;6:CD001081
  11. Halliday A, Mansfield A, Marro J, Peto C, Peto R, Potter J, et al. Prevention of disabling and fatal strokes by successful carotid endarterectomy in patients without recent neurological symptoms: randomised controlled trial. Lancet 2004;363:1491-502
  12. Markovic D, Vlajkovic G, Sindjelic R, Markovic D, Ladjevic N, Kalezic N. Cervical plexus block versus general anesthesia in carotid surgery: single center experience. Arch Med Sci 2012;8:1035-40
  13. Mendonça CT, Fortunato JA Jr, Carvalho CA, Weingartner J, Filho OR, Rezende FF, et al. Carotid endarterectomy in awake patients: safety, tolerability and results. Rev Bras Cir Cardiovasc 2014;29:574-80
  14. AbuRahma AF. Processes of care for carotid endarterectomy: surgical and anesthesia considerations. J Vasc