Open AccessPlexus anesthesia versus general anesthesia in patients for carotid endarterectomy with patch angioplasty: Protocol for a systematic review with meta-analyses and Trial Sequential Analysis of randomized clinical trials
Author(s) -
Martijn S. Marsman,
Jørn Wetterslev,
Frederik Keus,
D. van Aalst,
Frank G. van Rooij,
Jan M.M. Heyligers,
Frans L. Moll,
Abdelkarime Kh. Jahrome,
P.W.H.E. Vriens,
Giel G. Koning
Publication year - 2020
Publication title -
international journal of surgery protocols
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.291
H-Index - 4
ISSN - 2468-3574
DOI - 10.1016/j.isjp.2019.12.002
Subject(s) - medicine , carotid endarterectomy , randomized controlled trial , stroke (engine) , endarterectomy , clinical trial , meta analysis , anesthesia , adverse effect , systematic review , relative risk , stenosis , confidence interval , clinical endpoint , surgery , medline , mechanical engineering , political science , law , engineering
Traditional carotid endarterectomy is considered to be the standard technique for prevention of a new stroke in patients with a symptomatic carotid stenosis. Use of plexus anesthesia or general anesthesia in traditional carotid endarterectomy is, to date, not unequivocally proven to be superior to one other. A systematic review is needed for evaluation of benefits and harms to determine which technique, plexus anesthesia or general anesthesia is more effective for traditional carotid endarterectomy in patients with symptomatic carotid stenosis.