A retrospective analysis of all patients that underwent carotid endarterectomy (CEA) for stenotic disease - diagnosed at pre-operative investigation - prior to CABG as staged operation within 6- months. The rate of postoperative stroke and complications was compared between CEA performed under Local anaesthetic (LA) to those performed under General anaesthetic (GA).
The primary outcome was the rate of postoperative stroke in patients that had staged CEA prior to CABG. This was defined as CEA within a period of 4 weeks prior to CABG. We retrospectively looked at those patients that fulfilled the inclusion criteria and had CEA performed either under LA (Group A) or under GA (Group B). We measured the 30 days' postoperative stroke rate as the main outcome. We also looked at the rate of intraoperative stroke. Additionally, we assessed the rate for developing nerve injuries and/or hematoma postoperatively. Finally, we examined the risk for developing postoperative stroke in patients with bilateral significant carotid artery disease that underwent surgery in one side.
Study Type
OBSERVATIONAL
Enrollment
44
Carotid endarterectomy prior to CABG operations either under Local Anaesthetic or under General Anaesthetic.
Stroke
a transient ischaemic attack (TIA), or a disabling stroke within 30 days of the carotid endarterectomy procedure.
Time frame: 30 days
Major bleeding
Major haematoma was defined as a significant bleeding that required the patient to go back to theatre for a secondary procedure.
Time frame: 30 days
Minor bleeding
A minor hematoma was defined as bleeding that resulted in bruising and neck swelling without causing significant concerns to require a secondary procedur
Time frame: 30 days
Nerve injuries
Either neuropraxia that resolved with time or permanent injuries that resulted in disability.
Time frame: 30 days
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.