Abstract

MANSILHA, Armando. Carotid Endarterectomy under Local Anaesthesia. Angiol Cir Vasc [online]. 2011, vol.7, n.1, pp.7-12. ISSN 1646-706X.

The efficacy of carotid endarterectomy (CEA) in preventing the stroke in patients with symptomatic and asymptomatic carotid stenosis has been established in different multicentre randomised controlled trials. CEA under local anaesthesia versus general anaesthesia has been associated with potential benefits concerning reduction in the odds of stroke, death and hospital costs. This review will analyse the published results, particularly those from last Cochrane meta-analysis and from GALA trial, the largest randomised surgical/anaesthetic trial ever performed in this field. It will be also analysed the recommendations published by the European Society for Vascular Surgery (ESVS) and the singular results from a personal experience.

Keywords : Carotid stenosis; endarterectomy; local anaesthesia; general anaethesia.

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