In this RCT of 3526 patients undergoing CEA, there was no difference in outcomes in general vs local anesthesia (outcomes were stroke, MI, death, quality of life, and length of hospital stay) (abstract). Either modality is appropriate, and can be tailored to the preferences of the surgeon, anesthesiologist, and patient.
Dr. Scheurer is a clinical hospitalist and the Medical Director of Quality and Safety at the Medical University of South Carolina in Charleston, South Carolina, and is Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She also serves as the Web Editor and Physician Advisor for the Society of Hospital Medicine.