title: Carotid endarterectomy: comparison between general and local anesthesia. Revision of our experience with 428 consecutive cases.
abstract: BACKGROUND
  This sequential retrospective monocentric study compares the results between general and local anesthesia for carotid endarterectomy (CEA).
  
  
  METHODS
  Between November 2002 and October 2004, 428 CEAs were performed in our vascular unit. Two groups were formed: group GA (general anesthesia): 219 patients operated under general anesthesia; group LA (local anesthesia): 209 patients operated under local anesthesia.
  
  
  RESULTS
  No mortality was found in both groups. After surgery, three strokes were detected in group GA and three in group LA (GA 1.36% vs. LA 1.43%, p = .9540); After CEA, there were three TIAs in GA group and none in LA group (GA 0.42% vs. LA 0%, p = .2634).
  
  
  CONCLUSIONS
  The morbi-mortality was not influenced by the type of anesthesia used for carotid surgery. No statistical difference was detected in the perioperative neurological and cardiopulmonary complication rates between GA and LA.
authors.affiliation: Vascular and Endovascular Surgery Unit, Mauriziano Umberto I Hospital, Turin, Italy. emaferrero@libero.it
authors.forename: Emanuele
authors.initials: E
authors.lastname: Ferrero
authors.forename: Michelangelo
authors.initials: M
authors.lastname: Ferri
authors.forename: Andrea
authors.initials: A
authors.lastname: Viazzo
authors.forename: Margherita
authors.initials: M
authors.lastname: Ferrero
authors.forename: Andrea
authors.initials: A
authors.lastname: Gaggiano
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Berardi
authors.forename: Alberto
authors.initials: A
authors.lastname: Pecchio
authors.forename: Salvatore
authors.initials: S
authors.lastname: Piazza
authors.forename: Pia
authors.initials: P
authors.lastname: Cumbo
authors.forename: Franco
authors.initials: F
authors.lastname: Nessi
mesh_terms: D000368:Aged; D000768:Anesthesia, General / Q000009:adverse effects; D000772:Anesthesia, Local / Q000009:adverse effects; D016893:Carotid Stenosis / Q000601:surgery*; D016009:Chi-Square Distribution; D016894:Endarterectomy, Carotid / Q000009:adverse effects; D005260:Female; D006801:Humans; D002546:Ischemic Attack, Transient / Q000209:etiology; D007558:Italy; D008297:Male; D018579:Patient Selection; D012189:Retrospective Studies; D018570:Risk Assessment; D012307:Risk Factors; D020521:Stroke / Q000209:etiology; D016896:Treatment Outcome