Key result
Carotid endarterectomy review highlights persistent controversies across anesthesia, monitoring, and arterial repair techniques.
Why the study?
Considerable debate and wide diversity of opinion persist regarding ideal anesthetic management, cerebral protection, intraoperative monitoring, and arterial repair methods in carotid endarterectomy.
Highlights ongoing technical controversies and promising new developments in the surgical management of carotid artery disease.
Does not support practice changes in carotid endarterectomy; leaves open the need for trials on emerging techniques.
Carotid endarterectomy has become a routine and safe therapeutic strategy in most neurovascular centers. Wide diversity of opinion and considerable debate, however, persists concerning the ideal methods of anesthetic management, cerebral protection, intraoperative monitoring, and arterial repair. We have examined and summarized the current status of these controversies and have identified several new techniques that hold promise for further development.
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Loftus et al. (1987) conducted a review in Carotid artery surgery. Carotid endarterectomy was evaluated. A review of carotid endarterectomy highlights ongoing controversies regarding the ideal methods of anesthetic management, cerebral protection, intraoperative monitoring, and arterial repair.
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