High thoracic epidural anesthesia in patients with synchronous carotid endarterectomy and off-pump coronary artery revascularization | Zendy

Vojislava Nešković | Zendy; Predrag Milojević | Zendy; Dragana Unić-Stojanović | Zendy; Ivan Ilić | Zendy; Zoran Slavkovic | Zendy

Open Access

High thoracic epidural anesthesia in patients with synchronous carotid endarterectomy and off-pump coronary artery revascularization

Author(s) -

Vojislava Nešković,

Predrag Milojević,

Dragana Unić-Stojanović,

Ivan Ilić,

Zoran Slavkovic

Publication year - 2013

Publication title -

vojnosanitetski pregled

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.123

H-Index - 19

eISSN - 2406-0720

pISSN - 0042-8450

DOI - 10.2298/vsp1312132n

Subject(s) - medicine , carotid endarterectomy , anesthesia , intensive care unit , mechanical ventilation , contraindication , endarterectomy , surgery , cardiothoracic surgery , carotid arteries , alternative medicine , pathology

In order to reduce the risk of cerebrovascular insults (CVI), the latest recommendations suggest that carotid endarterectomy (CEA) is strongly indicated in patients scheduled for coronary surgery when significant carotid artery stenosis is symptomatic and/or bilateral. The best results are obtained in small studies with CEA performed immediately prior to off-pump coronary bypass (OPCAB). We present 16 consecutive patients who underwent synchronous CEA and OPCAB under general anesthesia combined with high thoracic epidural anesthesia (TEA) in order to evaluate the safety and potential benefits of such anesthetic management.

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