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Anesthetic considerations for endovascular abdominal aortic aneurysm repair


1 Department of Anaesthesiology, National Heart Centre, Singapore General Hospital, Singapore
2 Department of Anaesthesiology, Singapore General Hospital, Singapore
3 Department of Anaesthesiology, Sri Ramachandra Medical College and Research Institute, Porur, Chennai, Tamil Nadu, India
4 Department of Anaesthesiology, National Heart Centre, Singapore General Hospital, India

Correspondence Address:
Harikrishnan Kothandan
Department of Anaesthesiology, National Heart Centre, Singapore General Hospital
Singapore
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9784.173029

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Year : 2016  |  Volume : 19  |  Issue : 1  |  Page : 132-141

 

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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.






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1 Department of Anaesthesiology, National Heart Centre, Singapore General Hospital, Singapore
2 Department of Anaesthesiology, Singapore General Hospital, Singapore
3 Department of Anaesthesiology, Sri Ramachandra Medical College and Research Institute, Porur, Chennai, Tamil Nadu, India
4 Department of Anaesthesiology, National Heart Centre, Singapore General Hospital, India

Correspondence Address:
Harikrishnan Kothandan
Department of Anaesthesiology, National Heart Centre, Singapore General Hospital
Singapore
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9784.173029

Rights and Permissions

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.






[FULL TEXT] [PDF]*


        
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