TY - JOUR
T1 - Anesthetic Management for Endovascular Repair of the Thoracic Aorta
AU - Cheruku, Sreekanth
AU - Huang, Norman
AU - Meinhardt, Kyle
AU - Aguirre, Marco
N1 - Funding Information:
The authors would like to acknowledge the contributions of Lisa Bennett, MD, MSCS, Department of Vascular Surgery, UT Southwestern Medical Center, for comments that greatly improved the article.
Publisher Copyright:
© 2019 Elsevier Inc.
PY - 2019/12
Y1 - 2019/12
N2 - 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.
AB - 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.
KW - Aortic dissection
KW - Endoleak
KW - Paraplegia
KW - Penetrating atherosclerotic ulcer
KW - Spinal cord protection
KW - Thoracic aortic aneurysm
KW - Thoracic endovascular aortic repair
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U2 - 10.1016/j.anclin.2019.07.001
DO - 10.1016/j.anclin.2019.07.001
M3 - Review article
C2 - 31677680
AN - SCOPUS:85072157510
SN - 1932-2275
VL - 37
SP - 593
EP - 607
JO - Anesthesiology Clinics
JF - Anesthesiology Clinics
IS - 4
ER -