Anesthetic Type and Risk of Myocardial Infarction Following Carotid Endarterectomy in the Carotid Revascularization Endarterectomy versus Stenting Trial (CREST)

Most carotid endarterectomy (CEA) procedures are performed under general anesthesia (GA), although some advocate regional anesthesia (RA) to reduce hemodynamic instability and allow neurologic monitoring and selective shunting. RA does not reduce the risk of periprocedural stroke or death, although some series show a reduction in myocardial infarction (MI). The incidence of periprocedural MI, death, and stroke was compared in the surgical cohort of Carotid Revascularization Endarterectomy versus Stenting Trial (CREST) between patients undergoing CEA under GA or RA, as well as the carotid artery stenting (CAS) cohort.
Source: Journal of Vascular Surgery - Category: Surgery Authors: Tags: Abstract from the 2015 Annual Meetings of the Western Vascular Society and Australia and New Zealand Society for Vascular Surgery Source Type: research