Pitfalls of postoperative care following carotid artery surgery
Authors:
Michálek Pavel 1,2; Stern Michael 3; Stříteský Martin 1; Šedivý Petr 4
Authors‘ workplace:
Klinika anesteziologie, resuscitace a intenzivní medicíny, 1. LF UK a Všeobecná fakultní nemocnice, Praha
1; Department of Anaesthetics, Antrim Area Hospital, Antrim, United Kingdom
2; Anesteziologicko-resuscitační oddělení, Nemocnice Na Homolce, Praha
3; Oddělení cévní a rekonstrukční chirurgie, Nemocnice Na Homolce, Praha
4
Published in:
Anest. intenziv. Med., 22, 2011, č. 3, s. 153-158
Category:
Review Article
Overview
Carotid endarterectomy is one of the most frequent vascular surgery procedures worldwide. The postoperative course is mostly uncomplicated. Neurological complications may manifest as a cerebral stroke, hyperperfusion syndrome or, rarely, as convulsions. Postoperative cardiovascular instability that may occur includes hypertension or less often hypotension and cardiac dysrhythmias. Acute myocardial ischaemia is seen mostly in patients with ischaemic heart disease. Other complications include postoperative wound haematoma potentially leading to airway obstruction and damage to the nerves adjacent to the surgical incision.
Keywords:
carotid endarterectomy – cerebral stroke – hyperperfusion syndrome – acute myocardial infarction – airway obstruction
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Anaesthesiology, Resuscitation and Inten Intensive Care MedicineArticle was published in
Anaesthesiology and Intensive Care Medicine
2011 Issue 3
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