Abstract

ROJAS REYES, Gladys; DIAZ DIAZ, Antonio Jesús  and  HERNANDEZ ROJAS, Ana Lidia. Endarterectomy of carotids with acupunctural analgesia. Rev Ciencias Médicas [online]. 2013, vol.17, n.5, pp.161-170. ISSN 1561-3194.

Carotid disease increases the risk of having the most common brain-ischemic stroke significantly. The elevated brain ischemic processes havig their origin in lesions caused by stenosis (ulcerous o non-ulcerous) of the extracranial arteries, mainly in the carotid bifurcation are well-known. As these lesions are surgically accessible, for long years the routine treatment is the Endarterectomy of carotids. The analgesic effect of the acupuncture permits any types of surgery in the chosen anatomic region, preserving mental lucidity in patient, something very significant to determine the patients needing intraluminal shunt after campling the arteries during this surgical procedure. Aimed at associating these criteria, a 76-year-old-male patient who had suffered from four ischemic brain strokes as a consequence of a complicated atheromatous plaque and stenosis of left carotid bifurcation, an Endarterectomy of carotids with acupunctural analgesia was performed without trans-operative or post-operative complications, therefore it is proposed as a logic, economic and secure alternative to remove the carotid obstruction.

Keywords : Carotid endarterectomy; Acupuncture analgesia; Transient ischemic attack.

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