Article: article from journal or magazin.
Report on initial experience with local anaesthesia for carotid artery endarterectomy.
Acta Chirurgica Belgica
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.
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
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