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Abstract
Two hundred twenty-one patients undergoing carotid endarterectomy were studied for
morbidity and mortality. Thirty-seven had general anesthesia and 138 had regional
anesthesia. The two groups were similar in preoperative risk factors and were operated
on by a single surgeon and similar operative teams. Patient selection was prospective
in the sense that the first 37 procedures were performed with general anesthesia and
the next 184, with regional anesthesia. No significant difference in incidences of
death, myocardial infarction, stroke, or transient ischemic attack was found. Hospital
lengths of stay were similar. The type of anesthetic used for carotid endarterectomy
should be the choice of the surgeon and operative team.
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References
- Detailed comparison of regional and general anesthesia for carotid endarterectomy.Am J Surg. 1986; 152: 691-694
- Local anesthesia in carotid endarterectomy: an alternative method.Isr J Med Sci. 1985; 21: 511-513
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- Intraoperative local anesthetic injection of the carotid sinus nerve. A prospective, randomized study.Am J Surg. 1986; 152: 695-699
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Article info
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© 1989 Published by Elsevier Inc.
