Intraoperative management of carotid endarterectomy

Andrey Apinis; Sankalp Sehgal; Jonathan Leff

doi:10.1016/j.anclin.2014.05.008

Intraoperative management of carotid endarterectomy

Anesthesiol Clin. 2014 Sep;32(3):677-98. doi: 10.1016/j.anclin.2014.05.008. Epub 2014 Jul 11.

Authors

Andrey Apinis¹, Sankalp Sehgal², Jonathan Leff²

Affiliations

¹ Cardiothoracic Anesthesiology, Montefiore Medical Center, Albert Einstein College of Medicine, 111 E 2 10th Street, Bronx, NY 10467, USA. Electronic address: [email protected].
² Cardiothoracic Anesthesiology, Montefiore Medical Center, Albert Einstein College of Medicine, 111 E 2 10th Street, Bronx, NY 10467, USA.

PMID: 25113727
DOI: 10.1016/j.anclin.2014.05.008

Abstract

First reports on surgical treatment of cerebrovascular atherosclerosis date to the early 1950s. With advancements in surgical technique, carotid endarterectomy (CEA) has become the treatment of choice for patients with both symptomatic and asymptomatic severe carotid stenosis. Given the benefits that surgery offers beyond medical management, the number of CEA procedures continues to increase. The intraoperative management of patients undergoing CEA is challenging because of the combination of patient and surgical factors. This article explores and reviews the literature on anesthetic management and considerations of patients undergoing CEA.

Keywords: Carotid endarterectomy; Carotid stenosis; Intraoperative management; Neurophysiologic monitoring.

Publication types

Review

MeSH terms

Anesthesia / adverse effects
Anesthesia / methods
Endarterectomy, Carotid / methods*
Humans
Intraoperative Care / methods*
Postoperative Complications / epidemiology
Postoperative Complications / prevention & control
Randomized Controlled Trials as Topic
Stroke / prevention & control