Local versus general anaesthesia for carotid endarterectomy

Tangkanakul, C.; Counsell, Carl; Warlow, Charles

doi:10.1002/14651858.cd000126

Cited by 37 publications

(36 citation statements)

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“…Previous randomized controlled studies and metaanalyses have shown that reduced rates of death or stroke are associated with CEA performed for both symptomatic and asymptomatic carotid artery stenosis [1][2][3][4]. European Vascular Surgery guidelines strongly recommend CEA for symptomatic carotid artery stenosis degree greater than 70%.…”

Section: Discussionmentioning

confidence: 99%

Carotid Endarterectomy: A Comparison on General and Local Anesthesia

Toktaş¹,

Goncu²,

Surer³

et al. 2015

Eur Res J

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Section: Discussionmentioning

confidence: 99%

Carotid Endarterectomy: A Comparison on General and Local Anesthesia

Toktaş¹,

Goncu²,

Surer³

et al. 2015

Eur Res J

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“…Recent meta-analyses of neuroaxial versus general anesthesia for discrete procedures (eg, hip fracture and carotid endarterectomy) have confirmed similar benefits for pulmonary and thrombotic complications but did not observe a reduction in cardiac events. 45,47 Another meta-analysis of 11 randomized trials suggested that analgesia continued via the neuroaxial approach for Ͼ24 hours postoperatively further reduced the rate of Figure 2. Additional risk stratification and treatment before noncardiac surgery.…”

Section: Anesthetic Approachmentioning

confidence: 99%

Assessing and Reducing the Cardiac Risk of Noncardiac Surgery

2006

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A ccurate estimation of a patient's risk for postoperative cardiac events (eg, myocardial infarction, unstable angina, ventricular tachycardia, pulmonary edema, and death) after noncardiac surgery can guide allocation of clinical resources, use of preventive therapies, and priorities for future research. This review addresses selected issues in clinical risk assessment, approaches to using diagnostic tests, choices among preventive interventions, and postoperative monitoring. Although we have not used a formal systematic

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“…Das OP-Risiko wird durch das OP-Verfahren (konventionelle TEA mit Patchplasik, Eversions-TEA) und -nach bisheriger Datenlage auch durch die Wahl des Anästhesieverfahrens (Allgemeinnarkose, Leitungs-oder Lokalanästhesie) nicht beeinflusst [57]. Zu dieser Frage wird derzeit eine internationale randomisierte Multicenterstudie durchgeführt (GALATrial).…”

Section: Welche Faktoren Beeinflussen Das Perioperative Risiko?unclassified