Carotid Endarterectomy
Conditions
Keywords
Carotid Stenosis, regional anesthesia
Brief summary
Patients undergoing carotid endarterectomy may suffer from neurologic deficits (ND) during the carotid cross-clamping due to cerebral hypoperfusion. An associated risk of postoperative stroke incidence is also well established. The aim of this study is to evaluate the predictive factors associated with ND during CEA performed with RA. The perioperative implications of the ND were also evaluated.
Detailed description
Patients undergoing carotid endarterectomy may suffer from neurologic deficits (ND) during the carotid cross-clamping due to cerebral hypoperfusion. An associated risk of postoperative stroke incidence is also well established. The aim of this study is to evaluate the predictive factors associated with ND during CEA performed with RA. The perioperative implications of the ND were also evaluated. All consecutive patients from a tertiary referral center who underwent CEA for carotid artery stenosis (CS) and consecutive patients who presented alterations in the neurologic examination after ICA clamping during CEA are selected. The control patients, submitted to the same procedure but with no neurologic alterations, are consecutively selected.
Interventions
PROCEDUREcarotid endarterectomy
shunt
Sponsors
Universidade do Porto
Study design
Observational model
CASE_CONTROL
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 100 Years
Healthy volunteers
No
Inclusion criteria
* carotid endarterectomy under regional anesthesia * Postclamping carotid deficit
Exclusion criteria
* carotid stenting
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Stroke | up to 5 years | An episode of neurological dysfunction caused by focal cerebral, spinal, or retinal infarction. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Clavien-Dindo Classification >3 | 30 days | Postoperative event life threatining and requiring surgical, endoscopic or radiological intervention |
Other
| Measure | Time frame | Description |
|---|---|---|
| Major adverse cardiosvascular and cerebrovascular events | up to 5 years | AMI, Stroke, AHF hospitalization, MALE, MACE, All-cause mortality |
Countries
Portugal
Contacts
Primary ContactJoao P Rocha-Neves, MD, MSC; MPH, FEBVS
Outcome results
None listed