One hundred consecutive carotid reconstructions: local versus general anesthesia.

One hundred consecutive patients who underwent carotid reconstructions were divided into two groups by anesthesia type (general 46, local 54) and retrospectively reviewed. Particular interest was paid to length of hospital stay and billing data. There were no differences in presenting symptoms, risk factors, incidence of stroke, cranial nerve injury, or wound hematoma. Significant reductions in length of operating time, intensive care unit time, and postoperative stay and intraluminal shunt usage were demonstrated. Calculated billings and actual billings were reviewed and found to be markedly diminished in the local anesthesia group.