title: Local anesthesia and exposure for carotid endarterectomy: background and technical realization.
abstract: While carotid endarterectomy is an established method for the treatment of symptomatic as well as high-grade asymptomatic carotid artery stenoses, there is a considerable variation concerning the kind of anesthesia used as well as technical details of the operation. In the present article differing arguments on local versus general anesthesia as well as a transverse versus a longitudinal skin incision will be discussed. Furthermore, possible access routes to the carotid bifurcation, the retrojugular compared to the ventrojugular approach, will be presented in detail.
authors.affiliation: Department of Vascular Surgery, Wilhelminenhospital, Vienna, Austria. juergen.falkensammer@alumni.mayo.edu
authors.forename: J
authors.initials: J
authors.lastname: Falkensammer
authors.forename: N
authors.initials: N
authors.lastname: Duschek
authors.forename: E
authors.initials: E
authors.lastname: Skrinjar
authors.forename: K
authors.initials: K
authors.lastname: Hirsch
authors.forename: C
authors.initials: C
authors.lastname: Senekowitsch
authors.forename: A
authors.initials: A
authors.lastname: Assadian
mesh_terms: D000772:Anesthesia, Local / Q000379:methods*; D000779:Anesthetics, Local / Q000008:administration & dosage*; D002343:Carotid Artery, Internal; D016893:Carotid Stenosis / Q000601:surgery*; D016894:Endarterectomy, Carotid / Q000379:methods*; D006801:Humans; D010147:Pain Measurement
chemical_list: D000779:Anesthetics, Local