Association between the choice of anesthesia and in-hospital outcomes after carotid artery stenting Hanaa Dakour-Aridi, MD, Muhammad Rizwan, MD, Besma.

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Association between the choice of anesthesia and in-hospital outcomes after carotid artery stenting Hanaa Dakour-Aridi, MD, Muhammad Rizwan, MD, Besma Nejim, MBChB, MPH, Satinderjit Locham, MD, Mahmoud B. Malas, MD, MHS, FACS Journal of Vascular Surgery Volume 69, Issue 5, Pages 1461-1470.e4 (May 2019) DOI: 10.1016/j.jvs.2018.07.064 Copyright © 2018 Society for Vascular Surgery Terms and Conditions

Journal of Vascular Surgery 2019 69, 1461-1470.e4DOI: (10.1016/j.jvs.2018.07.064) Copyright © 2018 Society for Vascular Surgery Terms and Conditions

Fig 1 Trends in the use of general and local anesthesia (LA) during carotid artery stenting (CAS) across the study's time period. Journal of Vascular Surgery 2019 69, 1461-1470.e4DOI: (10.1016/j.jvs.2018.07.064) Copyright © 2018 Society for Vascular Surgery Terms and Conditions

Fig 2 Results of multivariable analysis of primary and secondary outcomes after carotid artery stenting (CAS) in general anesthesia (GA) versus local anesthesia (LA). Compared with LA, the use of GA during CAS is associated with higher odds of in-hospital mortality, major adverse cardiac events (MACE), acute congestive heart failure (CHF), perioperative hypertension requiring treatment, and prolonged length of stay (PLOS). No difference in stroke, dysrhythmia, or reperfusion syndrome was found between the two groups. Journal of Vascular Surgery 2019 69, 1461-1470.e4DOI: (10.1016/j.jvs.2018.07.064) Copyright © 2018 Society for Vascular Surgery Terms and Conditions

Fig 3 Factors associated with in-hospital major adverse cardiac events (MACE) after carotid artery stenting (CAS). Risk factors associated with increased odds of MACE after CAS, included the use of general anesthesia (GA), advanced age, diabetes, coronary artery disease (CAD), higher American Society of Anesthesiologists (ASA) class as well as urgent/emergent procedures. CEA, Carotid artery endarterectomy; TIA, transient ischemic attack. Journal of Vascular Surgery 2019 69, 1461-1470.e4DOI: (10.1016/j.jvs.2018.07.064) Copyright © 2018 Society for Vascular Surgery Terms and Conditions