Anesthesia types for carotid endarterectomy in patients with carotid stenosis
10.3760/cma.j.issn.1673-4165.2023.07.011
- VernacularTitle:颈动脉狭窄患者颈动脉内膜切除术的麻醉方式
- Author:
Qiangqiang FAN
1
;
Lin ZHOU
;
Shuo LI
Author Information
1. 石家庄市第三医院麻醉科，石家庄 050011
- Keywords:
Carotid stenosis;
Endarterectomy, carotid;
Anesthesia, general;
Anesthesia, local;
Treatment outcome
- From:
International Journal of Cerebrovascular Diseases
2023;31(7):546-550
- CountryChina
- Language:Chinese
-
Abstract:
Carotid endarterectomy (CEA) is an important measure for stroke prevention in patients with asymptomatic severe carotid artery stenosis and symptomatic moderate to severe carotid artery stenosis. The anesthesia types of CEA include general anesthesia (GA) and regional anesthesia (RA). The existing low-quality evidence shows that there is no significant difference in the incidence of stroke and death within 30 days of operation between RA and GA. However, some recent studies have shown that the incidence of perioperative complications during CEA under RA is significantly lower than that under GA. Further high-quality research is needed to clarify the risks and benefits of CEA under RA and GA.
