Anesthetic Management for Endovascular Repair of the Thoracic Aorta

Research output: Contribution to journalReview article

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Abstract

Thoracic endovascular aneurysm repair (TEVAR) is fast becoming the primary treatment of thoracic aortic aneurysms, thoracic aortic dissections, acute aortic injuries, and other conditions affecting the thoracic aorta. Patients scheduled for TEVAR tend to have a host of comorbid conditions, including coronary artery disease, diabetes, and chronic obstructive pulmonary disease. Intraoperative management should optimize end-organ perfusion, facilitate neuromonitoring, and adjust hemodynamic management. Complications include spinal cord injury, peripheral vascular injury, contrast-induced nephropathy, postimplantation syndrome, and endoleaks. Patients who undergo TEVAR require care in a postoperative environment where these complications can be rapidly detected and aggressively treated.

Original languageEnglish (US)
JournalAnesthesiology Clinics
DOIs
Publication statusAccepted/In press - Jan 1 2019

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Keywords

  • Aortic dissection
  • Endoleak
  • Paraplegia
  • Penetrating atherosclerotic ulcer
  • Spinal cord protection
  • Thoracic aortic aneurysm
  • Thoracic endovascular aortic repair

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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