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Specialty: Anesthesiology
Procedure: Carotid Endarterectomy

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Total 138 results found since Jan 2013.

Perioperative stroke: pathophysiology and management.
Authors: Ko SB Abstract Although perioperative stroke is uncommon during low-risk non-vascular surgery, if it occurs, it can negatively impact recovery from the surgery and functional outcome. Based on the Society for Neuroscience in Anesthesiology and Critical Care Consensus Statement, perioperative stroke includes intraoperative stroke, as well as postoperative stroke developing within 30 days after surgery. Factors related to perioperative stroke include age, sex, a history of stroke or transient ischemic attack, cardiac surgery (aortic surgery, mitral valve surgery, or coronary artery bypass graft surgery), and...
Source: Korean Journal of Anesthesiology - February 16, 2018 Category: Anesthesiology Tags: Korean J Anesthesiol Source Type: research

Carotid endarterectomy in octogenarians: A 5-years single centre experience
Surgical carotid endarterectomy still remains the most effective treatment for reducing the risk of stroke in patients with significant carotid stenosis. In fact, endovascular carotid stenting is associated with a higher incidence of perioperative and long-term minor stroke when compared to carotid endarterectomy although long-term functional outcome and risk of major stroke are comparable.1 However, advanced age resulted to be associated with an increased risk of complications after carotid endarterectomy.
Source: Journal of Cardiothoracic and Vascular Anesthesia - June 1, 2015 Category: Anesthesiology Authors: Laura Pasin, Pasquale Nardelli, Daniela Febres, Alessandro Belletti, Omar Saleh, Mattia Bellandi, Livia Manfredini, Gianluca Paternoster, Giovanni Landoni, Alberto Zangrillo Source Type: research

Outcomes of Dexmedetomidine with Local Regional Anesthesia in Carotid Endarterectomy
CONCLUSIONS: The use of dexmedetomidine in addition to LRA is a safe and acceptable alternative to conventional GETA or LRA alone in CEA with shorter length of hospital stay when compared with GETA, improved patient tolerance based on physician observation and similar rates of immediate and short-term complications, as well as post-operative pain scores.PMID:36229003 | DOI:10.1016/j.avsg.2022.08.009
Source: Pain Physician - October 13, 2022 Category: Anesthesiology Authors: Samik H Patel Vikram L Sundararaghavan Amber M Pawlikowski Jeremy Albright Jason M Adams Michael J Heidenreich Robert J Beaulieu Abdulhameed Aziz Source Type: research

General Versus Regional Anesthesia for Carotid Endarterectomy
THE FIRST CAROTID ENDARTERECTOMY (CEA) was performed at St Mary Hospital, London, England, in 1954. This is a surgical procedure performed to reduce the incidences of embolic and thrombotic stroke. The incidence of perioperative stroke during CEA is approximately 2.3%. The incidence of perioperative myocardial infarction (MI), which is defined by Q-wave criteria on an electrocardiogram, in patients undergoing CEA is
Source: Journal of Cardiothoracic and Vascular Anesthesia - January 2, 2013 Category: Anesthesiology Authors: Dragana Unic-Stojanovic, Srdjan Babic, Vojislava Neskovic Tags: Review Articles Source Type: research

Anesthetics and Cerebral Protection in Patients Undergoing Carotid Endarterectomy
CEREBRAL ISCHEMIA/HYPOXIA may occur in a variety of perioperative circumstances. The main pathophysiologic aspects involved in cerebral ischemia/reperfusion are caused by adenosine triphosphate (ATP) consumption, the excitotoxic actions of glutamate, changes in ionic homeostasis, and formation of free radicals (Fig 1). Outcomes from such events range from subclinical neurocognitive deficits to catastrophic neurologic morbidity or death.1 Stroke is a severe complication that occurs rarely, perioperatively, but when it happens, stroke is associated with a high mortality or results in serious disability.
Source: Journal of Cardiothoracic and Vascular Anesthesia - October 3, 2014 Category: Anesthesiology Authors: Miomir Jovic, Dragana Unic-Stojanovic, Esma Isenovic, Rizzo Manfredi, Olivera Cekic, Nenad Ilijevski, Srdjan Babic, Djordje Radak Tags: Review ArticleGiovanni Landoni, MDSection Editors? > Source Type: research

Safety and efficiency of ultrasound-guided intermediate cervical plexus block for carotid surgery
Conclusions The present work reports our first 50 cases of intermediate CPB using ultrasound guidance. The results underline that this technique is easy to perform, safe and reliable, provided good surgical conditions with continuous intraoperative neurologic monitoring and stable haemodynamics are respected.
Source: Anaesthesia, Critical Care and Pain Medicine - December 6, 2015 Category: Anesthesiology Source Type: research

Regional Versus General Anesthesia for Carotid Endarterectomy: Do We Need Another Randomized Trial?
STROKE CURRENTLY remains the second cause of death among all patients with cardiovascular disease.1 Carotid endarterectomy (CEA) is a safe and effective surgical technique that lowers the risk of ischemic stroke in patients with carotid artery stenosis secondary to atherosclerotic disease.2 CEA is associated with improved neurologic and cognitive function and quality of life.
Source: Journal of Cardiothoracic and Vascular Anesthesia - October 4, 2018 Category: Anesthesiology Authors: Vladimir V. Lomivorotov, Vladimir A. Shmyrev, Valery A. Nepomniashchikh Tags: Editorial Source Type: research

Low-dose dexmedetomidine provides hemodynamics stabilization during emergence and recovery from general anesthesia in patients undergoing carotid endarterectomy: a randomized double-blind, placebo-controlled trial
ConclusionsLow-dose dexmedetomidine improves hemodynamic stability during emergence and recovery from general anesthesia in patients receiving carotid endarterectomy.Trial registry numberUMIN000010607.
Source: Journal of Anesthesia - January 17, 2019 Category: Anesthesiology Source Type: research

Carotid Revascularization Procedures and Perioperative Outcomes: A Multistate Analysis, 2007-2014
To compare in-hospital mortality, postoperative stroke, and combined stroke/mortality in carotid artery stenting (CAS) patients and carotid endarterectomy (CEA) patients.
Source: Journal of Cardiothoracic and Vascular Anesthesia - February 15, 2019 Category: Anesthesiology Authors: Abdullah S. Rasheed, Robert S. White, Virginia Tangel, Bess M. Storch, Kane O. Pryor Tags: Original Article Source Type: research

Anaesthesia for carotid surgery
Abstract: Carotid endarterectomy (CEA) is a surgical procedure to prevent strokes in patients with atheromatous disease at the carotid bifurcation. The effectiveness of CEA has been established in large clinical trials. Patients should have surgery performed within 2 weeks from the onset of symptoms. This timeframe presents a challenge to the anaesthetist and surgeon in risk stratifying and optimizing these high-risk patients for surgery. Optimization includes blood pressure (BP) control and use of antiplatelet and lipid-lowering therapy.CEA can be carried out under general anaesthesia (GA) or regional anaesthesia (RA) wit...
Source: Anaesthesia and intensive care medicine - May 1, 2013 Category: Anesthesiology Authors: Indran Raju, Kenneth Fraser Tags: Vascular Anaesthesia Source Type: research

Regional anaesthesia for carotid endarterectomy
Regional anaesthesia is a popular choice for patients undergoing carotid endarterectomy (CEA). Neurological function is easily assessed during carotid cross-clamping; haemodynamic control is predictable; and hospital stay is consistently shorter compared with general anaesthesia (GA). Despite these purported benefits, mortality and stroke rates associated with CEA remain around 5% for both regional anaesthesia and GA. Regional anaesthetic techniques for CEA have improved with improved methods of location of peripheral nerves including nerve stimulators and ultrasound together with a modification in the classification of ce...
Source: British Journal of Anaesthesia - February 18, 2015 Category: Anesthesiology Authors: Stoneham, M. D., Stamou, D., Mason, J. Tags: Review Articles Source Type: research

Anaesthesia for carotid surgery
Publication date: Available online 31 March 2016 Source:Anaesthesia & Intensive Care Medicine Author(s): Katherine Livingstone, Indran Raju Carotid endarterectomy (CEA) is a surgical procedure to prevent strokes in patients with atheromatous disease at the carotid bifurcation. The effectiveness of CEA has been established in large clinical trials. Patients should have surgery performed within 2 weeks from the onset of symptoms. This time frame presents a challenge to the anaesthetist and surgeon in risk stratifying and optimizing patients for surgery. Optimization includes blood pressure (BP) control and use of...
Source: Anaesthesia and intensive care medicine - March 30, 2016 Category: Anesthesiology Source Type: research

Intraoperative monitoring of cerebral oximetry and depth of anaesthesia during neuroanesthesia procedures
Purpose of review: This review reports recent evidence on intraoperative monitoring of cerebral oximetry and depth of anaesthesia during neuroanaesthesia procedures. Recent findings: The clinical benefits of intraoperative monitoring with cerebral oximetry [near infrared spectroscopy (NIRS) and brain tissue oxygenation monitoring (brptiO2)] and depth of anaesthesia with bispectral index (BIS) have recently been studied in surgical (carotid endarterectomy, cerebral arteriovenous malformations resection and brain tumour resections) and neuroradiological vascular procedures. BrptiO2/PaO2 ratio is much more reliable than abso...
Source: Current Opinion in Anaesthesiology - September 3, 2016 Category: Anesthesiology Tags: NEUROANESTHESIA: Edited by Keith J. Ruskin Source Type: research

Perioperative strokes after coronary artery bypass grafting with staged carotid endarterectomy: A nationwide perspective
To examine the risk of perioperative stroke on in-hospital morbidity and mortality in staged coronary artery bypass grafting (CABG) and carotid endarterectomy (CEA) procedures.
Source: Journal of Clinical Anesthesia - March 20, 2017 Category: Anesthesiology Authors: Hannah Cheng, Reshmi Udesh, Amol Mehta, Parthasarathy D. Thirumala Source Type: research

Serum copeptin levels as predictor of cognitive dysfunction after carotid endarterectomy
The incidence of cognitive dysfunction (CD) after carotid surgery is about 10-28%. Copeptin is the C-terminal fragment of provasopressin and is presumably co-secreted with arginine vasopressin from the hypothalamus. Copeptin levels have also been found to be elevated in ischemic stroke. The aim of this study was to evaluate the predictive value of postoperative serum copeptin level in the occurrence of CD in patients undergoing carotid endarterectomy (CEA).
Source: Journal of Cardiothoracic and Vascular Anesthesia - April 1, 2017 Category: Anesthesiology Authors: Dragana Unic-Stojanovic, V Maravic-Stojkovic, D Radak, N Aleksic, P Gajin, B Milicic, S Tanaskovic, M Jovic Tags: Oral Presentations 207Thursday, 20 April 201708:30 - 10:30, Auditorium 3 Source Type: research