title: Correlating the length of internal carotid artery stenosis to the technique of endarterectomy and anesthesia used.
abstract: A consensus correlating the length of the internal carotid artery stenosis (short vs. long) to the preferred Endarterectomy (Conventional Vs. Eversion) and type of anesthesia (General Vs. cervical blockade) implemented has not yet been met. In a collaboration study between two hospitals in Germany and Georgia, 215 patients were analyzed and stratified into 3 groups according to length of stenosis, surgical technique and type of anesthesia used. In this series, for eversion endarterectomy with cervical blockade, non-neurological complications commenced at 1,78%. For conventional endarterectomy performed under general anesthesia, patients with a short stenosis had no postoperative complications whatsoever, whereas the incidence rate for various neurological deficits was 2,7% for long stenosis. In case of short stenosis of the internal carotid artery, eversion endarterectomy with cervical block, seems to be an optimal choice. Whereas for long stenosis, conventional endarterectomy under general anesthesia is a more suitable option.
authors.affiliation: Department of Visceral and Vascular Surgery at "Traumatolgy" Ltd. Hospital, Tbilisi, Georgia; Department of General-, Visceral- and Vascular Surgery, University of Halle-Wittenberg, Germany.
authors.forename: J
authors.initials: J
authors.lastname: Partsakhashvili
authors.affiliation: Department of Visceral and Vascular Surgery at "Traumatolgy" Ltd. Hospital, Tbilisi, Georgia; Department of General-, Visceral- and Vascular Surgery, University of Halle-Wittenberg, Germany.
authors.forename: N
authors.initials: N
authors.lastname: Rtveliashvili
authors.affiliation: Department of Visceral and Vascular Surgery at "Traumatolgy" Ltd. Hospital, Tbilisi, Georgia; Department of General-, Visceral- and Vascular Surgery, University of Halle-Wittenberg, Germany.
authors.forename: O
authors.initials: O
authors.lastname: Philishvili
authors.affiliation: Department of Visceral and Vascular Surgery at "Traumatolgy" Ltd. Hospital, Tbilisi, Georgia; Department of General-, Visceral- and Vascular Surgery, University of Halle-Wittenberg, Germany.
authors.forename: R
authors.initials: R
authors.lastname: Kurdadze
authors.affiliation: Department of Visceral and Vascular Surgery at "Traumatolgy" Ltd. Hospital, Tbilisi, Georgia; Department of General-, Visceral- and Vascular Surgery, University of Halle-Wittenberg, Germany.
authors.forename: J
authors.initials: J
authors.lastname: Ukkat
mesh_terms: D000768:Anesthesia, General; D002343:Carotid Artery, Internal / Q000033:anatomy & histology / Q000473:pathology*; D016893:Carotid Stenosis / Q000473:pathology / Q000601:surgery*; D005846:Georgia (Republic); D005858:Germany; D006801:Humans; D011183:Postoperative Complications; D012307:Risk Factors