Affiliation:
1. Pennsylvania State University, Penn State Milton S. Hershey Medical Center
2. Pennsylvania State University College of Medicine, Penn State Milton S. Hershey Medical Center
Abstract
Abstract
BACKGROUND
Carotid endarterectomy (CEA) is one of the most effective neurosurgical operations in minimizing stroke risk in both symptomatic and asymptomatic patients with carotid stenosis. Awake CEA with regional anesthesia may decrease both perioperative complications and length of hospital stay. The awake carotid operation is not often described in published literature.
OBJECTIVE
To describe our experience with carotid endarterectomy 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
Carotid endarterectomy using regional anesthesia is described in detail.
RESULTS
Successful use of regional anesthesia during carotid endarterectomy 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.
Publisher
Research Square Platform LLC