Anesthetic Management for Endovascular Repair of the Thoracic Aorta

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12 Scopus citations


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)
Pages (from-to)593-607
Number of pages15
JournalAnesthesiology Clinics
Issue number4
StatePublished - Dec 2019


  • 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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