Anesthetic considerations for endovascular abdominal aortic aneurysm repair

被引:22
作者
Kothandan, Harikrishnan [1 ]
Chieh, Geoffrey Liew Haw [2 ]
Khan, Shariq Ali [2 ]
Karthekeyan, Ranjith Baskar [3 ]
Sharad, Shah Shitalkumar [1 ]
机构
[1] Singapore Gen Hosp, Natl Heart Ctr, Dept Anaesthesiol, Singapore, Singapore
[2] Singapore Gen Hosp, Dept Anaesthesiol, Singapore, Singapore
[3] Sri Ramachandra Med Coll & Res Inst, Dept Anaesthesiol, Madras, Tamil Nadu, India
关键词
Abdominal aortic aneurysm; Endovascular repair; Perioperative management;
D O I
10.4103/0971-9784.173029
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Aneurysm is defined as a localized and permanent dilatation with an increase in normal diameter by more than 50%. It is more common in males and can affect up to 8% of elderly men. Smoking is the greatest risk factor for abdominal aortic aneurysm (AAA) and other risk factors include hypertension, hyperlipidemia, family history of aneurysms, inflammatory vasculitis, and trauma. Endovascular Aneurysm Repair [EVAR] is a common procedure performed for AAA, because of its minimal invasiveness as compared with open surgical repair. Patients undergoing EVAR have a greater incidence of major co-morbidities and should undergo comprehensive preoperative assessment and optimization within the multidisciplinary settings. In majority of cases, EVAR is extremely well-tolerated. The aim of this article is to outline the Anesthetic considerations related to EVAR.
引用
收藏
页码:132 / 141
页数:10
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