Nuffield Department of Surgery, University of Oxford, John Radcliffe Hospital, Headley Way, Oxford, UK.
Angiology. 2011 Nov;62(8):609-13. doi: 10.1177/0003319711405507. Epub 2011 May 8.
Perioperative complications from carotid endarterectomy (CEA) are the main drawbacks of the procedure. The aim of this study was to assess the complication rates in patients undergoing CEA under general anesthesia (GA) or regional anesthesia (local anesthesia [LA]) at our institution. Patients undergoing CEA at our regional vascular unit between 2000 and 2004 were included. Data were collated retrospectively from a prospective database. Follow-up was up to 62 months. In all, 383 endarterectomies were performed, 260 of which were under LA. Outcome measures included 30-day death (2.1%), stroke (1.8%), and combined stroke and death (2.8%). A 30-day incidence of stroke, death, and combined stroke and death was lower in the LA group. Incidence of myocardial infarction and transient ischemic attacks, and annual mortality were higher in the LA group. No significant difference was found between the 2 groups. In a unit where CEA is preferentially performed under LA, anesthesia technique failed to significantly influence outcome.
颈动脉内膜切除术（CEA）的围手术期并发症是该手术的主要缺点。本研究旨在评估在我们机构接受全身麻醉（GA）或区域麻醉（局部麻醉[LA]）下进行 CEA 的患者的并发症发生率。在 2000 年至 2004 年间，我们的区域性血管单位进行了 383 例内膜切除术，其中 260 例为 LA。数据从前瞻性数据库中回顾性收集。随访时间长达 62 个月。共有 30 天死亡（2.1%）、中风（1.8%）和中风合并死亡（2.8%）。LA 组的 30 天卒中、死亡和联合卒中死亡发生率较低。LA 组心肌梗死和短暂性脑缺血发作的发生率以及年死亡率较高。两组之间无显著差异。在一个优先进行 LA 下 CEA 的单位中，麻醉技术并未显著影响结果。
