Carotid endarterectomy using regional anesthesia: technique and considerations

被引：0

作者：

Padmanaban, Varun ^{[1
]}

Caldwell, Catherine ^{[1
]}

Milne, Indigo ^{[1
]}

Hazard, Sprague W. ^{[1
,2
]}

Harbaugh, Robert E. ^{[1
]}

Church, Ephraim W. ^{[1
]}

机构：

[1] Penn State Univ, Coll Med, Penn State Milton S Hershey Med Ctr, Dept Neurosurg, Hershey, PA 16801 USA

[2] Penn State Univ, Penn State Milton S Hershey Med Ctr, Dept Anesthesia & Perioperat Serv, Coll Med, Hershey, PA USA

来源：

FRONTIERS IN SURGERY | 2024年 / 11卷

关键词：

carotid disease; carotid endarterectomy; regional anesthesia (RA); surgical technique; awake carotid endarterectomy (CEA); GENERAL-ANESTHESIA; CLINICAL-OUTCOMES; LOCAL-ANESTHESIA; SURGERY GALA; HIGH-RISK; TRIAL;

D O I：

10.3389/fsurg.2024.1421624

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Background: Carotid endarterectomy (CEA) is one of the most effective operations in minimizing stroke risk in both symptomatic and asymptomatic patients with carotid stenosis in the United States. Awake CEA with regional anesthesia may decrease both perioperative complications and length of hospital stay. Techniques of performing awake CEA is not often described in published literature. Objective To describe our experience with CEA using regional anesthesia with a focus on patient selection, anatomic variations, and surgical technique including cervical regional block. We particularly focus on nuances of the awake approach. Methods: CEA using regional anesthesia is described in detail. Results: Successful use of regional anesthesia during CEA without complication. Conclusion: Regional anesthesia for CEA is an advantageous approach for cervical plaque removal in appropriate patients. Thoughtful patient selection, as well as understanding of anatomy and its variants, is required. Potential advantages and disadvantages are discussed.

引用

页数：6

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