Regional Cervical Plexus Blockage for Carotid Endarterectomy in Patients with Cardiovascular Risk Factors

dc.contributor.authorTaşar, Mehmet
dc.contributor.authorKalender, Mehmet
dc.contributor.authorKaraca, Okay Güven
dc.contributor.authorEcevit, Ata Niyazi
dc.contributor.authorSalihi, Salih
dc.contributor.authorAdademir, Taylan
dc.contributor.authorDarçın, Osman Tansel
dc.date.accessioned2020-04-30T23:31:35Z
dc.date.available2020-04-30T23:31:35Z
dc.date.issued2015
dc.departmentDÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.descriptionWOS: 000370850300004en_US
dc.descriptionPubMed: 26334849en_US
dc.description.abstractBackground: Carotid artery disease is not rare in cardiac patients. Patients with cardiac risk factors and carotid stenosis are prone to neurological and cardiovascular complications. With cardiac risk factors, carotid endarterectomy operation becomes challenging. Regional anesthesia is an alternative option, so we aimed to investigate the operative results of carotid endarterectomy operations under regional anesthesia in patients with cardiac risk factors. Methods: We aimed to analyze and compare outcomes of carotid endarterectomy under regional anesthesia with cardiovascular risk groups retrospectively. Between 2006 and 2014, we applied 129 carotid endarterectomy +/- patch plasty to 126 patients under combined cervical plexus block anesthesia. Patients were divided into three groups (high, moderate, low) according to their cardiovascular risks. Neurological and cardiovascular events after carotid endarterectomy were compared. Results: Cerebrovascular accident was seen in 7 patients (5.55%) but there was no significant difference between groups (P > .05). Mortality rate was 4.76% (n = 6); it was higher in the high risk group and was not statistically significant (P = .180). Four patients required revision for bleeding (3.17%). We did not observe any postoperative surgical infection. Conclusion: Carotid endarterectomy can be safely performed with regional cervical anesthesia in all cardiovascular risk groups. Comprehensive studies comparing general anesthesia and regional anesthesia are needed.en_US
dc.identifier.doi10.1532/hsf.1385en_US
dc.identifier.endpageE142en_US
dc.identifier.issn1098-3511
dc.identifier.issn1522-6662
dc.identifier.issue4en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpageE140en_US
dc.identifier.urihttps://doi.org/10.1532/hsf.1385
dc.identifier.urihttps://hdl.handle.net/20.500.12684/4333
dc.identifier.volume18en_US
dc.identifier.wosWOS:000370850300004en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherForum Multimedia Publishing, Llcen_US
dc.relation.ispartofHeart Surgery Forumen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.titleRegional Cervical Plexus Blockage for Carotid Endarterectomy in Patients with Cardiovascular Risk Factorsen_US
dc.typeArticleen_US

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