title: [Role of loco-regional anesthesia in the surgical treatment of atheromatous lesions of the carotid bifurcation].
abstract: 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.
authors.affiliation: Divisione di Chirurgia Generale, USSL n. 58, Cuneo.
authors.forename: G C
authors.initials: GC
authors.lastname: Viglione
authors.forename: R
authors.initials: R
authors.lastname: Rivetti
authors.forename: F
authors.initials: F
authors.lastname: Lavagne
authors.forename: C
authors.initials: C
authors.lastname: Costa
mesh_terms: 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
vernacular_title: Ruolo dell'anestesia locoregionale nel trattamento chirurgico delle lesioni ateromasiche della biforcazione carotidea.