Why the study?
Does carotid endarterectomy under local anesthesia improve outcomes compared to general anesthesia in patients undergoing carotid endarterectomy?
Population
290 patients undergoing carotid endarterectomy
Comparison
Carotid endarterectomy under local anesthesia… vs Carotid endarterectomy under general anesthesia…
Design
Cohort
Authors
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Local anesthesia was associated with fewer neurological events; leaves open whether direct monitoring should supplant stump pressure or general anesthesia without randomized confirmation.
Does carotid endarterectomy under local anesthesia improve outcomes compared to general anesthesia in patients undergoing carotid endarterectomy?
Performing carotid endarterectomy under local anesthesia allows for direct assessment of motor ability and consciousness, which is a more reliable indicator for the need for intraoperative shunting than carotid stump pressure.
Connolly et al. (1977) studied this question.
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