Analysis of the postoperative results of carotid endarterectomy under local anesthesia in 40 patients showed the possibilities of this type of anesthesia in evaluation of cerebral collateral circulation. The method allowed the use of temporary intraluminal shunt to be rejected in all patients and intraoperative ischemic complications on the part of the brain were not encountered in any of them. A high correlation between the results of EEG and the intraoperative evaluation of tolerance of the brain to ischemia was registered.
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J Clin Med
December 2024
Department of Anesthesiology, Heidelberg University Hospital, Medical Faculty, University of Heidelberg, 69120 Heidelberg, Germany.
: There is an ongoing debate about the most advantageous anesthesia technique for carotid endarterectomy (CEA). From an anesthesiologic perspective, locoregional anesthesia (LRA) appears to offer significant benefits. However, the learning curve and complication rates for anesthesiologists newly performing ultrasound-guided LRA for CEA remain unclear and are to be examined in greater detail in this study.
View Article and Find Full Text PDFAnn Vasc Surg
December 2024
Center for Learning and Excellence in Vascular & Endovascular Research (CLEVER), Department of Surgery, University of California San Diego (UCSD), La Jolla, CA. Electronic address:
Background: The Society for Vascular Surgery guidelines recommend carotid revascularization within 14 days of symptom onset for neurologically stable stroke patients. However, in the United States, insurance status may affect surgical timing, although large-scale studies are lacking. Using the Vascular Quality Initiative database, we evaluated the impact of insurance status on surgical wait times for patients with symptomatic carotid disease.
View Article and Find Full Text PDFJ Vasc Surg Cases Innov Tech
February 2025
Department of Surgery, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
This study evaluated the safety and efficacy of a novel primary closure technique in carotid endarterectomy compared with traditional methods. Conducted over 8 years at three university hospitals, this study included 184 patients. Early complications (8.
View Article and Find Full Text PDFFront Cardiovasc Med
November 2024
Department of Cardiac Surgery, Beijing AnZhen Hospital, Capital Medical University, Beijing, China.
J Med Case Rep
October 2024
Department of Vascular Surgery and Transplantology, Lviv Regional Clinical Hospital, Chernigivska st 7, Lviv, 79010, Ukraine.
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