Vassiliou Timon, Wulf Hinnerk, Rolfes Caroline
Klinik für Anästhesie und Intensivtherapie am Universitätsklinikum Giessen und Marburg GmbH, Standort Marburg.
Anasthesiol Intensivmed Notfallmed Schmerzther. 2009 Jul;44(7-8):514-20. doi: 10.1055/s-0029-1237106. Epub 2009 Jul 23.
Cervical plexus blocks have been established as safe and feasible procedures for carotid endarterectomy. Comparable perioperative complication rates have been reported for plexus techniques and general anaesthesia. The results of the GALA trial support the theory that the indication for insertion of intraluminal shunts was significantly reduced by regional procedures (14 % vs. 43 %) in consequence of the more reliable diagnosis of neurological complications. However, it has not been identified yet which technique (superficial, deep or a combination) offers the highest effectiveness.
颈丛阻滞已被确立为颈动脉内膜切除术安全可行的手术方式。据报道，丛神经技术和全身麻醉的围手术期并发症发生率相当。GALA试验结果支持这样一种理论，即由于对神经并发症的诊断更为可靠，区域手术显著降低了腔内分流置入的指征（14%对43%）。然而，尚未确定哪种技术（浅丛、深丛或联合）效果最佳。
