Cardiovascular Surgery and Interventions
2024, Vol 11, Num 2 Page(s):
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Our experience with carotid endarterectomy under cervical plexus block in a patient with an indication for heart transplantation
Erman Şen1, Yusuf Çakmak1, Esra Adıyeke1, Murat Uğur2
1Department of Anesthesiology and Reanimation, Sancaktepe Şehit Prof. Dr. İlhan Varank Training and Research Hospital, İstanbul, Türkiye
2Department of Cardiovascular Surgery, Sancaktepe Şehit Prof. Dr. İlhan Varank Training and Research Hospital, İstanbul, Türkiye
Keywords: Carotid endarterectomy, cervical plexus block, local anesthetics
Carotid endarterectomy is among the best treatment methods for patients with severe carotid stenosis who have experienced transient ischemic attacks. Performing it under cervical plexus block reduces anesthesia-related complications during the perioperative periods in patients for whom general anesthesia carries high risks. Additionally, it facilitates the early detection of intraoperative neurological complications. Herein, we shared our experience on a 56-year-old male patient who was at high risk for general anesthesia due to various comorbidities and underwent carotid endarterectomy under cervical plexus block. Cervical plexus block is a method that can be preferred in carotid endarterectomy due to reduced costs and the rapid detection of neurological complications during the operation.
Erman Şen1, Yusuf Çakmak1, Esra Adıyeke1, Murat Uğur2
1Department of Anesthesiology and Reanimation, Sancaktepe Şehit Prof. Dr. İlhan Varank Training and Research Hospital, İstanbul, Türkiye
2Department of Cardiovascular Surgery, Sancaktepe Şehit Prof. Dr. İlhan Varank Training and Research Hospital, İstanbul, Türkiye
Keywords: Carotid endarterectomy, cervical plexus block, local anesthetics
Carotid endarterectomy is among the best treatment methods for patients with severe carotid stenosis who have experienced transient ischemic attacks. Performing it under cervical plexus block reduces anesthesia-related complications during the perioperative periods in patients for whom general anesthesia carries high risks. Additionally, it facilitates the early detection of intraoperative neurological complications. Herein, we shared our experience on a 56-year-old male patient who was at high risk for general anesthesia due to various comorbidities and underwent carotid endarterectomy under cervical plexus block. Cervical plexus block is a method that can be preferred in carotid endarterectomy due to reduced costs and the rapid detection of neurological complications during the operation.
DOI : 10.5606/e-cvsi.2024.1626
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