Regional Anesthesia is Preferable for Patients Undergoing Carotid Endarterectomy

  • Pierre Casthely
  • John Dluzneski


Strokes are the third leading cause of death in North America [1]. They usually result from arterial occlusive disease involving the extracranial or intracranial vessels, or both, in 80% of the cases; 35%–40% of the patients with cerebrovascular insufficiency have significant intracranial vascular disease [2]. The site of occlusion may be extracranial or intracranial. Cerebral ischemia can be produced either by embolic infarction or by reducing cerebral perfusion. The source of most of the embolic material producing transient ischemic attacks (TIAs) and stroke appears to be platelet and fibrin—platelet casts, formed at the site of an atherosclerotic plaque, which then migrate into the intracranical vessels. This is the reasoning behind using aspirin, which inhibits platelet aggregation, in that group of patients.


Cerebral Blood Flow Regional Anesthesia Carotid Endarterectomy Transverse Process Somatosensory Evoke Potential 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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© Kluwer Academic Publishers, Boston 1988

Authors and Affiliations

  • Pierre Casthely
  • John Dluzneski

There are no affiliations available

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