The Choice of the Type of Anesthesia for Carotid Endarterectomy (Review)

The article summarizes the international experience of using different types of anesthesia for the surgical treatment of carotid artery lesions. The anesthesiology support of surgery on the carotid basin includes general and combined anesthesia of various types. The regional anesthesia is a separate...

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Main Authors: Oleg V. Simonov, Igor N. Tyurin, Alexander D. Pryamikov, Alexey B. Mironkov
Format: Article
Language:English
Published: Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, Russia 2018-12-01
Series:Общая реаниматология
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Online Access:https://www.reanimatology.com/rmt/article/view/1728
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author Oleg V. Simonov
Igor N. Tyurin
Alexander D. Pryamikov
Alexey B. Mironkov
author_facet Oleg V. Simonov
Igor N. Tyurin
Alexander D. Pryamikov
Alexey B. Mironkov
author_sort Oleg V. Simonov
collection DOAJ
description The article summarizes the international experience of using different types of anesthesia for the surgical treatment of carotid artery lesions. The anesthesiology support of surgery on the carotid basin includes general and combined anesthesia of various types. The regional anesthesia is a separate field in the carotid surgery. The paper presents the advantages and disadvantages of each anesthetic technique. The recent publications show the superiority of regional anesthesia in terms of its cost-effectiveness, less frequent use of temporary intraluminal shunt, the possibility to constant monitoring of patient’s neurological status throughout the operation, and lower incidence of neurologic and cardiac complications. Complications of the regional anesthesia and the methods of their correction are described in detail. There is still no consensus about the choice of the optimal type of anesthesia for carotid endarterectomy, hence further large-scale randomized trials are needed.
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spelling doaj-art-81c894a324784e5bbb660585781d11a82025-08-20T03:59:40ZengFederal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, RussiaОбщая реаниматология1813-97792411-71102018-12-011469511310.15360/1813-9779-2018-6-95-1131669The Choice of the Type of Anesthesia for Carotid Endarterectomy (Review)Oleg V. Simonov0Igor N. Tyurin1Alexander D. Pryamikov2Alexey B. Mironkov3V. M. Buyanov City Clinical Hospital, Moscow Department of HealthcareV. M. Buyanov City Clinical Hospital, Moscow Department of Healthcare; Department of Additional Professional Education, N. I. Pirogov Russian National Medical Research University, Ministry of Health of RussiaV. M. Buyanov City Clinical Hospital, Moscow Department of Healthcare; Department of Additional Professional Education, N. I. Pirogov Russian National Medical Research University, Ministry of Health of RussiaV. M. Buyanov City Clinical Hospital, Moscow Department of Healthcare; Department of Additional Professional Education, N. I. Pirogov Russian National Medical Research University, Ministry of Health of RussiaThe article summarizes the international experience of using different types of anesthesia for the surgical treatment of carotid artery lesions. The anesthesiology support of surgery on the carotid basin includes general and combined anesthesia of various types. The regional anesthesia is a separate field in the carotid surgery. The paper presents the advantages and disadvantages of each anesthetic technique. The recent publications show the superiority of regional anesthesia in terms of its cost-effectiveness, less frequent use of temporary intraluminal shunt, the possibility to constant monitoring of patient’s neurological status throughout the operation, and lower incidence of neurologic and cardiac complications. Complications of the regional anesthesia and the methods of their correction are described in detail. There is still no consensus about the choice of the optimal type of anesthesia for carotid endarterectomy, hence further large-scale randomized trials are needed.https://www.reanimatology.com/rmt/article/view/1728atherosclerosiscarotid stenosiscarotid endarterectomyregional anesthesiacombined anesthesia
spellingShingle Oleg V. Simonov
Igor N. Tyurin
Alexander D. Pryamikov
Alexey B. Mironkov
The Choice of the Type of Anesthesia for Carotid Endarterectomy (Review)
Общая реаниматология
atherosclerosis
carotid stenosis
carotid endarterectomy
regional anesthesia
combined anesthesia
title The Choice of the Type of Anesthesia for Carotid Endarterectomy (Review)
title_full The Choice of the Type of Anesthesia for Carotid Endarterectomy (Review)
title_fullStr The Choice of the Type of Anesthesia for Carotid Endarterectomy (Review)
title_full_unstemmed The Choice of the Type of Anesthesia for Carotid Endarterectomy (Review)
title_short The Choice of the Type of Anesthesia for Carotid Endarterectomy (Review)
title_sort choice of the type of anesthesia for carotid endarterectomy review
topic atherosclerosis
carotid stenosis
carotid endarterectomy
regional anesthesia
combined anesthesia
url https://www.reanimatology.com/rmt/article/view/1728
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