Anesthetic Management for Endovascular Repair of Thoracic and Abdominal Aortic Aneurysms

Anesthesiol Clin. 2022 Dec;40(4):719-735. doi: 10.1016/j.anclin.2022.08.014. Epub 2022 Sep 28.

Abstract

Aortic aneurysms-both abdominal and thoracic-are a significant cause of death and disability in the United States. Endovascular aneurysm repair has since become the preferred operative treatment of most thoracic and abdominal aneurysms because of a lower rate of complications and better outcomes compared with the open approach. Patients who present for endovascular aneurysm repair often have comorbid conditions related to their aortic pathology. These conditions should be evaluated and optimized before the procedure.

Keywords: Aortic aneurysm; Endoleak; Endovascular aortic repair (EVAR); Endovascular repair; Spinal cord injury; Thoracic EVAR.

Publication types

  • Review

MeSH terms

  • Anesthetics*
  • Aortic Aneurysm, Abdominal* / complications
  • Aortic Aneurysm, Abdominal* / surgery
  • Blood Vessel Prosthesis Implantation* / adverse effects
  • Endovascular Procedures* / methods
  • Humans
  • Postoperative Complications / therapy
  • Retrospective Studies
  • Risk Factors
  • Time Factors
  • Treatment Outcome

Substances

  • Anesthetics