Year 2015, Volume 1, Issue 2, Pages 39 - 43 2015-07-04

Carotid endarterectomy: a comparison on general and local anesthesia

Faruk Toktas [1] , Tugrul Goncu [2] , Suleyman Surer [3] , Gunduz Yumun [4] , Kadir Kaan Ozsin [5] , Burak Erdolu [6] , Senol Yavuz [7] , Arif Gucu [8]

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Objective. Carotid endarterectomy (CEA) reduces disabling or fatal stroke risk in patients with significant carotid stenosis. The aim of this study was to compare the results of CEA performed under general anesthesia (GA) or local anesthesia (LA) in patients with symptomatic severe carotid artery stenosis. Method. We retrospectively collected the data on 64 patients who underwent CEA under GA (47 patients) and LA (17 patients) at our hospital from January 2010 to January 2014. All clinical, demographics, preoperative risk factors and postoperative data were compared for postoperative results. Surgical indications, techniques, and complications were also compared. Results. The groups were similar for age, gender and preoperative risk factors. There were no significant differences in death (GA: 4.2% vs. LA: 0%; p =1.0), stroke (GA: 4.2% vs. LA: 0%; p=1.0), death/ stroke rate (GA: 2.1% vs. LA: 0%; p=1.0), nerve injury (GA: 2.1% vs. LA: 5.8%; p=0.464), saphenous vein patch closure (GA: 83% vs. LA: 59%; p=0.051), shunt rate (GA: 8.5% vs. LA: 6 %; p=1.0), hospital stay (GA: 8.2±5.7 day vs. LA: 6.2±2.9 day, p=0.275), hematoma rate (GA: 0 %vs. LA: 5.8%; p =0.266) and transient ischemic attack rate (GA: 4.2% vs. LA: 0%; p=1.0) between the two techniques. Mortality occurred in two patients (both in the GA group) due to stroke and myocardial infarction. Conclusion. Carotid endarterectomy performed safely under general or local anesthesia is associated with low morbidity and mortality rates. Local anesthesia can be a safe option for evaluating the better neurological status during operation.

Carotid endarterectomy, general anesthesia, local anesthesia, carotid artery stenosis
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Primary Language en
Subjects Health Care Sciences and Services
Journal Section Original Articles
Authors

Author: Faruk Toktas
Institution: Department of Cardiovascular Surgery, Bursa Yuksek Ihtisas Training and Research Hospital, Bursa
Country: Turkey


Author: Tugrul Goncu
Institution: Department of Cardiovascular Surgery, Bursa Yuksek Ihtisas Training and Research Hospital, Bursa
Country: Turkey


Author: Suleyman Surer
Institution: Department of Cardiovascular Surgery, Bursa Yuksek Ihtisas Training and Research Hospital, Bursa
Country: Turkey


Author: Gunduz Yumun
Institution: Department of Cardiovascular Surgery, Bursa Yuksek Ihtisas Training and Research Hospital, Bursa
Country: Turkey


Author: Kadir Kaan Ozsin
Institution: Department of Cardiovascular Surgery, Bursa Yuksek Ihtisas Training and Research Hospital, Bursa
Country: Turkey


Author: Burak Erdolu
Institution: Department of Cardiovascular Surgery, Bursa Yuksek Ihtisas Training and Research Hospital, Bursa
Country: Turkey


Orcid: 0000-0001-5246-0808
Author: Senol Yavuz
Institution: Department of Cardiovascular Surgery, Bursa Yuksek Ihtisas Training and Research Hospital, Bursa
Country: Turkey


Author: Arif Gucu
Institution: Department of Cardiovascular Surgery, Bursa Yuksek Ihtisas Training and Research Hospital, Bursa
Country: Turkey


EndNote %0 The European Research Journal Carotid endarterectomy: a comparison on general and local anesthesia %A Faruk Toktas , Tugrul Goncu , Suleyman Surer , Gunduz Yumun , Kadir Kaan Ozsin , Burak Erdolu , Senol Yavuz , Arif Gucu %T Carotid endarterectomy: a comparison on general and local anesthesia %D 2015 %J The European Research Journal %P -2149-3189 %V 1 %N 2 %R doi: 10.18621/eurj.2015.1.2.39 %U 10.18621/eurj.2015.1.2.39