[Role of loco-regional anesthesia in the surgical treatment of atheromatous lesions of the carotid bifurcation].
The Authors report a case of carotid bifurcation endarterectomy under loco-regional anesthesia. Despite a stump pressure of 44 mmHg, considered by the most of the Authors, the borderline value for carotid endarterectomy without shunt, the patient had a cerebral ischemic attack after 30 seconds of carotid clamping. So, the local anesthesia represents a valid alternative in order to detect an intolerance to clamping and underlines the importance of cerebral protection in this kind of surgical approach.
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Divisione di Chirurgia Generale, USSL n. 58, Cuneo.
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D000368:Aged; D000765:Anesthesia, Conduction; D000772:Anesthesia, Local; D001161:Arteriosclerosis / Q000601:surgery*; D016893:Carotid Stenosis / Q000175:diagnosis / Q000601:surgery*; D004691:Endarterectomy; D006801:Humans; D002546:Ischemic Attack, Transient / Q000517:prevention & control; D008297:Male
Ruolo dell'anestesia locoregionale nel trattamento chirurgico delle lesioni ateromasiche della biforcazione carotidea.