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- W4367323123 abstract "Abstract Carotid artery stenosis is a life-threatening condition caused by accumulation of atheromatous plaques in the carotid arteries, typically at the carotid bifurcation. These plaques restrict blood flow and can shower micro emboli into the ipsilateral cerebral hemisphere, causing transient ischemic attacks, as well as fatal ischemic strokes. The treatment options for carotid stenosis depend on symptomology, severity of stenosis, and whether the risk of surgery outweighs the risk of intraoperative myocardial infarction or stroke. Medical management focuses on optimizing blood pressure, cholesterol, cessation of smoking, and anti-platelet therapy, but the mainstay therapy remains surgical correction with a carotid endarterectomy (CEA), which has been shown to be very effective in specific patient populations. Patients with atherosclerotic carotid disease typically have other comorbidities, such as coronary artery disease (CAD), hypertension, diabetes, and peripheral vascular disease, complicating intraoperative management. Currently, most institutions employ either general endotracheal or regional anesthesia techniques for CEA, with each having their specific benefits, but with comparable records of efficacy and safety. Cervical plexus block (CPB), in its variety of techniques, has been shown to be very effective at providing surgical anesthesia. However, due to perceived technical difficulty and the potential complication risks on one hand, and surgeon and patient preferences on the other hand, this method remains relatively underutilized, leading to further lack of consistent clinical teaching and practice across US training programs." @default.
- W4367323123 created "2023-04-29" @default.
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- W4367323123 date "2023-04-01" @default.
- W4367323123 modified "2023-10-17" @default.
- W4367323123 title "Cervical Plexus Block for Carotid Endarterectomy" @default.
- W4367323123 doi "https://doi.org/10.1093/med/9780197518519.003.0010" @default.
- W4367323123 hasPublicationYear "2023" @default.
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