Local versus General Anaesthesia for Carotid Endarterectomy - Improving the Gold Standard ?

European Journal of Vascular and Endovascular Surgery

Volumn 36, Issue 2, 2008, Pages 145-149

  Lutz, H J ^a,b,d   Michael, R ^b   Gahl, B ^c   Savolainen, H ^c  

^a UNIVERSITY HOSPITAL GIESSEN   (Germany)

^b DESSAU MEDICAL CENTER   (Germany)

^c BERN UNIVERSITY HOSPITAL   (Switzerland)

^d Karolinen Hospital Hüsten   (Germany)

Author keywords

Carotid endarterectomy; Local anesthesia; Stroke

Indexed keywords

ETOMIDATE; LIDOCAINE; PROPOFOL; REMIFENTANIL; ROPIVACAINE;

AGED; ARTICLE; CAROTID ENDARTERECTOMY; CONFIDENCE INTERVAL; CONTROLLED STUDY; DATA ANALYSIS; DATA BASE; DEATH; FEMALE; GENERAL ANESTHESIA; HEMATOMA; HUMAN; HYPERTENSION; LOCAL ANESTHESIA; MAJOR CLINICAL STUDY; MALE; MEDICAL RECORD; OUTCOME ASSESSMENT; POSTOPERATIVE COMPLICATION; PRIORITY JOURNAL; RETROSPECTIVE STUDY; RISK ASSESSMENT; RISK FACTOR; STROKE; SURGICAL MORTALITY; SURGICAL RISK; TIME SERIES ANALYSIS; TRANSIENT ISCHEMIC ATTACK; TREATMENT OUTCOME;

AGED; ANESTHESIA, GENERAL; ANESTHESIA, LOCAL; CAROTID STENOSIS; ENDARTERECTOMY, CAROTID; FEMALE; HEMATOMA; HUMANS; HYPERTENSION; ISCHEMIC ATTACK, TRANSIENT; MALE; ODDS RATIO; RETROSPECTIVE STUDIES; RISK ASSESSMENT; RISK FACTORS; STROKE; TREATMENT OUTCOME;

EID: 46749127766     PISSN: 10785884     EISSN: 15322165     Source Type: Journal    
DOI: 10.1016/j.ejvs.2008.03.009     Document Type: Article

References (22)

1. North American Symptomatic Carotid Endarterectomy Trial Collaborators. Beneficial effect of carotid endarterectomy in symptomatic patients with high-grade carotid stenosis. N Engl J Med 325 (1991) 445-453
2. Randomised trial of endarterectomy for recently symptomatic carotid stenosis: final results of the MRC European Carotid Surgery Trial (ECST). Lancet 351 (1998) 1379-1387
3. Executive Committee for the Asymptomatic Carotid Atherosclerosis Study. Endarterectomy for asymptomatic carotid artery stenosis. JAMA 273 (1995) 1421-1428
4. Halliday A., Mansfield A., Marro J., et al., MRC Asymptomatic Carotid Surgery Trial (ACST) Collaborative Group. Prevention of disabling and fatal strokes by successful carotid endarterectomy in patients without recent neurological symptoms: randomised controlled trial. Lancet 363 (2004) 1491-1502
5. Biller J., Feinberg W.M., Castaldo J.E., Whittemore A.D., Harbaugh R.E., Dempsey R.J., et al. Guidelines for Carotid Endarterectomy. A statement for Healthcare Professionals from a Special Writing Group of the Stroke Council, American Heart Association. Circulation 97 (1998) 501-509 Stroke 1998;29:554-562
6. Yadav J.S., Wholey M.H., et al., Stenting and Angioplasty with Protection in Patients at High Risk for Endarterectomy Investigators. Protected carotid-artery stenting versus endarterectomy in high-risk patients (SAPPHIRE). N Engl J Med 35 (2004) 1493-1501
7. Hobson R.W., Howard V.J., Roubin G.S., and for the CREST Investigators. Carotid artery stenting is associated with increased complications in octogarians: 30-day stroke and death rates in the CREST lead-in phase. J Vasc Surg 40 (2004) 1106-1111
8. Featherstone R.L., Brown M.M., and Coward L.J. International carotid stenting study: protocol for a randomised clinical trial comparing carotid stenting with endarterectomy in symptomatic carotid artery stenosis. Cerebrovasc Dis 18 1 (2004) 69-74
9. EVA-3S Investigators. Carotid angioplasty and stenting with and without cerebral protection: clinical alert from the endarterectomy versus angioplasty in patients with symptomatic severe carotid stenosis (EVA-3S) trial. Stroke 35 (2004) e18-e20
10. Ringleb P.A., Allenberg J., Bruckmann H., et al. The SPACE Collaborative Group. 30 day results from the SPACE trial of stent-protected angioplasty versus carotid endarterectomy in symptomatic patients: a randomised non inferiority trial. Lancet 368 (2006) 1239-1247
11. Durand H., Masson V., Matte R., Plante J.M., and d'Amours M. Regional anaesthesia in carotid thrombendarterectomy. Laval Med 40 3 (1969) 256-261
12. Hagmüller G.W., Assadian A., Senekowitsch C., and Ptakovsky H. Die gefäßchirurgische Therapie von Karotisstenosen. J Kardiol 11 (2004) 206-211
13. Rerkasem K., Bond R., and Rothwell P.M. Local versus general anaesthesia for carotid endarterectomy. Cochrane Database Syst Rev 2 (2004) CD000126
14. GALA Trial (General versus local anaesthesia). Available from:. http//www.galatrial.com
15. Mofidi R., Nimmo A.F., Moores C., Murie J.A., and Chalmers R.T. Regional versus general anaesthesia for carotid endarterectomy: impact in change of practice. Surgeon 4 3 (2006 Jun) 158-162
16. Bond R., Rerkasem K., Counsell C., Salinas R., Naylor R., Warlow C.P., et al. Routine or selective carotid artery shunting for carotid endarterectomy (and different methods of monitoring in selective shunting). Cochrane Database Syst Rev 2 (2002) CD000190
17. Watts K., Lin P.H., Awad S., McCoy S.A., Felkai D., Hhou W., et al. The impact of anaesthetic modality on the outcome of carotid endarterectomy. Am J Surg 188 6 (2004 Dec) 741-747
18. Gabelman C., Gann D., Ashworth C., and Carney Jr. W. One hundred consecutive carotid reconstructions: local versus general anaesthesia. Am J Surg 145 (1983) 477-482
19. Pandit J., Satya-Krishna R., and Gration P. Superficial or deep cervical plexus block for carotid endarterectomy: a systematic review of complications. Br J Anaesth 99 (2007) 159-169
20. Kasprzak P.M., Altmeppen J., Angerer M., Mann S., Mackh J., and Topel I. General versus local anaesthesia in carotid surgery: a prospective randomized trial. Vasa 35 4 (2006 Nov) 232-238
21. Peitzman A., Webster M., Loubeau J., Grundy B.L., and Bahnson H.T. Carotid endarterectomy under regional (conductive anesthesia). Ann Surg 196 (1982) 59-64
22. Forssell C., Takolander R., Bergqvist D., Johansson A., and Persson N.H. Local versus general anaesthesia in carotid surgery. A prospective, randomised study. Eur J Vasc Surg 6 (1989) 503-509