Report on initial experience with local anaesthesia for carotid artery endarterectomy.

Détails

ID Serval
serval:BIB_D06A3192CA48
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Report on initial experience with local anaesthesia for carotid artery endarterectomy.
Périodique
Acta Chirurgica Belgica
Auteur⸱e⸱s
Scavée V., Detriche O., Van der Elst P., Chassot P.G.
ISSN
0001-5458
Statut éditorial
Publié
Date de publication
2008
Peer-reviewed
Oui
Volume
108
Numéro
2
Pages
231-235
Langue
anglais
Résumé
PURPOSE OF THE STUDY: This prospective study reports our preliminary results with local anaesthesia (LA) for carotid endarterectomy (CEA). MATERIAL AND METHODS: Twenty CEA in nineteen patients were performed using a three-stage local infiltration technique. CEA were performed through a short Duplex-assisted skin incision (median length: 55 mm) using a retro-jugular approach and polyurethane patch closure (median length: 35 mm). RESULTS: There were 13 men and 6 women with a mean age of 71.2 years. The indications of CEA were asymptomatic lesions in 11 cases, stroke in 7 cases and transient ischaemic attack in 2 cases. The median degree of internal carotid artery stenosis was 90%. One patient (5%) required an intraluminal shunt. There were no peri-operative deaths, stroke or conversion to general anaesthesia (GA). The median length of stay was 3 days. CONCLUSIONS: LA is a good alternative to GA. It can be used after a feasibility study and a short teaching procedure. In our centre, it is a safe and effective procedure associated with low morbidity, high acceptance by patients and a short hospital stay.
Mots-clé
Aged, Aged, 80 and over, Anesthesia, Local, Anesthetics, Local/administration & dosage, Bupivacaine/administration & dosage, Bupivacaine/analogs & derivatives, Endarterectomy, Carotid/methods, Female, Humans, Male, Middle Aged, Prospective Studies, Treatment Outcome
Pubmed
Web of science
Création de la notice
14/10/2009 10:23
Dernière modification de la notice
20/08/2019 15:50
Données d'usage