Se consideraron para la inclusión los ensayos aleatorios que compararon la administración de anestesia local con general para la endarterectomía carotídea. Endarterectomia Carotídea com Anestesia Loco-Regional. Armando Mansilha*. * Professor Auxiliar Convidado da Faculdade de Medicina do Porto Assistente. Endarterectomía carotídea con anestesia locorregional. Estudio de factores clínicos y arteriográficos de riesgo de isquemia cerebral durante el clampaje.

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Invasive treatment for carotid stenosis: Local versus general anaesthesis in carotid endarterectomy: A randomised clinical trial. Anesthesia, conduction ; Endarterectomy, carotid ; Hypertension. Scandinavian Journal of Thoracic and Cardiovascular Surgery ; Archives of Surgery ; A C2, C3, C4 root deep cervical block and endartrectomia block was performed, using a mixture of lidocaine and bupivacaine.

Seventeen patients were discharged within 48 hours of the procedure and the rest, within 72 hours.

Endarterectomia Carotídea com Anestesia Loco-Regional

To report our initial experience with carotid endarterectomy under regional anesthesia. The efficacy of carotid endarterectomy CEA in preventing the stroke in patients with symptomatic and asymptomatic carotid stenosis has been established in different multicentre randomised controlled trials.


Risks and benefits of shunting in carotid endarterectomy. There was no mortality or complications.

A comparison of regional and general anesthesia in patients undergoing carotid endarterectomy. The influence of anesthetic technique on perioperative complications after carotid endarterectomy. Eur J Vasc Endovasc Surg ; Anaesthesia for the surgery of cerebral arterial insufficiency.

General anaesthesia versus local anaesthesia for carotid surgery GALA: Endarterectomy is the treatment of choice for internal carotid artery critical stenosis. Local versus general anaesthesia for carotid endarterectomy. Como citar este artigo. All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License. Carotid endarterectomy in awake patients: Local anaesthesia in carotid surgery.

Endarterectomia Carotídea com Anestesia Loco-Regional

Awake patient monitoring to determine the need for shunting during carotid endarterectomy. Between andpatients with critical carotid artery stenosis, asymptomatic or with transient and recovered symptoms, were selected. J Cardiovasc Surg ; One patient was converted to general anesthesia. CEA under local anaesthesia versus general anaesthesia has been associated with potential benefits concerning reduction in the odds of stroke, death and hospital costs.

Endarterectomy under regional anesthesia is less invasive, has excellent results and is well accepted by endarterectomai. Cochrane Database of Syst Rev ; 2: Full text only available in PDF format.


During the study period, 94 carotid endarterectomies were done, 22 under regional anesthesia in 21 patients 12 male, age range years old. A carotid endarterectomy with patch and without routine shunt insertion, with standard and neurological monitoring, was performed. Hemodynamic benefits of regional anesthesia for carotid endarterectomy. It will be also analysed the recommendations published by the European Society for Vascular Surgery ESVS and the singular results from a personal experience.

Patient and hospital benefits of local anaesthesia for carotid endarterectomy. Physiological advantages of cerebral blood flow during carotid endarterectomy under local anaesthesia. Carotid artery back pressure and endarterectomy under regional anaesthesia.

Some authors have proposed that the use of regional anesthesia has advantages over general anesthesia. J Vasc Surg ; Cost-effectiveness analysis of general anaesthesia versus local anaesthesia for carotid surgery GALA Trial.