Comparison of anesthesia types for carotid revascularization

Technical aspect of anesthesia/surgery	Local/regional	General anesthesia
Neuromonitoring	Serial clinical neurological exams	EEG or other method. Requires additional time to set up, and personnel for monitoring and interpretation.
Hemodynamics	Lower risk for hypotension	Emergence may precipitate hypertension.
Carotid shunting	Selective	Mandatory
Cost	Possibly lower due to shorter hospital stay	Possibly higher due to need for neuromonitoring services.
Patient cooperation	Patient must be able to cooperate, communicate, and lie supine	Cooperation unnecessary. Useful for patients who cannot communicate, lay supine, or who have anxiety.

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