Anesthesia for Carotid Endarterectomy, Angioplasty, and Stent

Anesthesiol Clin. 2021 Mar;39(1):37-51. doi: 10.1016/j.anclin.2020.11.006. Epub 2021 Jan 8.


Anesthetic management of carotid artery disease requiring carotid endarterectomy or carotid stenting is complex and varies widely, but relies on excellent communication between the anesthesia and surgical team throughout the procedure to ensure appropriate cerebral perfusion. With a systematic approach to vascular access and hemodynamic and neurologic monitoring, anesthesia can be applied to maximize cerebral perfusion while minimizing the risk of postoperative hemorrhage or hyperperfusion.

Keywords: Carotid artery disease; Carotid artery stenosis; Carotid endarterectomy; Cerebrovascular accident; Stroke.

Publication types

  • Review

MeSH terms

  • Anesthesia*
  • Angioplasty
  • Carotid Stenosis* / surgery
  • Endarterectomy, Carotid*
  • Humans
  • Stents
  • Treatment Outcome