Servikal blok altında karotis endarterektomi operasyonu sonuçlarımız: Anadolu’da bir merkezde ilk uygulama

Abstract

Our Results of Carotid Endarterectomy under Cervical Block: A First Application in an Anatolian Medical Center Objective : Carotid endarterectomy can be performed under general anesthesia, regional cervical block, combined local-regional or local infiltration anesthesia. The aim of our research is to share our experience of patients who underwent carotid endarterectomy under regional cervical block, and its effects on morbidity and mortality. Method: Between September 2020 and January 2020,a total of 61 patients who underwent carotid endarterectomy due to carotid stenosis, were examined retrospectively. The patients’ postoperative early results within the first 30 days are evaluated. The demographic characteristics, early operative data and early postoperative results (1 month) of the patients’ were analyzed. Age,sex,risk factors,surgical indications,diagnostic methods,the usage of shunt, duration of the operation, neurological events, morbidity and mortality were all evaluated. Results: The data of 61 patients were analyzed retrospectively. Fifteen of the patients were female and forty-six were male. The mean age of the patients was calculated as 61.6±9.1(48-88)years. Fifty-one of the patients were symptomatic. Ten of the patients were asymptomatic, however they had a carotid stenosis of 70 percent or above. In 11 of the 61 patients, carotid endarterectomy was performed bilaterally, so a total of 72 carotid endarterecomties were performed in 61 patients. The mean duration of the procedure was 77.6±19.7 minutes, and the average time of a clamp on the carotid artery was 29.4±11.5 minutes. Major neurological events, bleeding, infections or death, were seen in none of the discharged patients within 1 month postoperatively. Conclusion: With increasing experience, carotid endarterectomy can be performed safely under regional cervical block.