The Hypothesis Regarding the Benefit of Carotid Endarterectomy Under Locoregional Anesthesia in Prevention of Stroke May be Unanswered

Author:

Moulakakis Konstantinos G.1,Avgerinos Efthimios D.2,Liapis Christos D.2

Affiliation:

1. Department of Vascular Surgery, Athens University Medical School, Attikon University Hospital, Athens, Greece,

2. Department of Vascular Surgery, Athens University Medical School, Attikon University Hospital, Athens, Greece

Abstract

A recent trial attempted to investigate the role of locoregional anesthesia (LA) in carotid endarterectomy (CEA) compared with general anesthesia. The hypothesis regarding the advantage of LA is based on the intraprocedural neurologic evaluation and the early identification of neurologic deficit. The trial has not demonstrated the superiority of the rocoregional anesthesia versus general anesthesia and revealed equal results concerning the prevention of stroke. We analyze the reasons which explain why the hypothesis regarding the advantage of LA in CEA, in comparison to general anesthesia cannot be answered.

Publisher

SAGE Publications

Subject

Cardiology and Cardiovascular Medicine

Reference11 articles.

1. General anaesthesia versus local anaesthesia for carotid surgery (GALA): a multicentre, randomised controlled trial

2. The differing effects of regional and general anaesthesia on cerebral metabolism during carotid endarterectomy

3. Rockman CB, Riles TS. What evidence is there that regional anesthesia is superior to general anesthesia? In: Mackey W, Naylor R, (eds). Carotid Artery Surgery: A Problem-Based Approach. Philadelphia, PA: W. B. Saunders Co. Ltd; 1999:193-205.

4. Anaesthetic techniques for carotid surgery

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1. Reply to;European Journal of Anaesthesiology;2017-01

2. Current World Literature;Current Opinion in Anaesthesiology;2012-02

3. Local Versus General Anesthesia for Carotid Endarterectomy;Angiology;2011-12-30

4. Current World Literature;Current Opinion in Anaesthesiology;2011-12

5. Current World Literature;Current Opinion in Anaesthesiology;2011-06

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