Review ArticleAnesthesia for carotid endarterectomyLineberger, Catherine K.; Lubarsky, David A.Author Information Duke University Medical Center, Durham, North Carolina, USA Correspondence to Catherine K. Lineberger, MD, Department of Anesthesiology, Duke University Medical Center, Box 3094, Durham, NC 27710, USA Tel: +1 919 681 4169; fax: +1 919 681 7893; e-mail: [email protected] Abbreviation PTAS: percutaneous angioplasty and stenting Current Opinion in Anaesthesiology: October 1998 - Volume 11 - Issue 5 - p 479-484 Buy Abstract Patients presenting for carotid endarterectomy provide anesthesiologists with many challenges. These include optimization of cerebrovascular hemodynamics and oxygen balance, as well as minimizing myocardial risk. Fiscal pressures have encouraged the development of clinical pathways in many centers, with a remarkable trend towards decreased intensive care unit utilization and length of hospital stay. Anesthetic and surgical practices vary widely, but outcomes in these high-risk patients are usually excellent despite these differences. The potential for expanded indications for carotid endarterectomy and development of percutaneous treatment for carotid stenosis will provide neurovascular anesthesiologists with additional incentives to refine the anesthetic management of these patients. © 1998 Lippincott Williams & Wilkins, Inc.