Anesthetic Management of Endovascular Aortic Aneurysm Repair
Mostafa Sayed Amin Hussein;
Abstract
Summary
T
he abdominal aorta is defined as aneurysmal when a localized dilation is identified, and the diameter of that region is increased more than 50% relative to normal aortic diameter. For most individuals, an aortic diameter greater than 3.0 cm is generally considered aneurysmal. Endovascular repair of abdominal aortic aneurysm (EVAR) represents a widely available alternative to open surgical repair.
The preprocedural evaluation of patients undergoing endovascular repair requires medical risk assessment and a careful quantitative and qualitative evaluation of aortoiliac anatomy to determine suitability for endovascular repair. With early endograft designs, about 50% of patients were not candidates for EVAR because of the site, extent, or morphology of the aneurysm, or unsuitability of access vessels. The availability of devices that allow a shorter proximal seal zone and lower profile devices have expanded the use of EVAR to almost two-thirds of patients with an Abdominal aortic aneurysm.
Endograft imaging is mand
T
he abdominal aorta is defined as aneurysmal when a localized dilation is identified, and the diameter of that region is increased more than 50% relative to normal aortic diameter. For most individuals, an aortic diameter greater than 3.0 cm is generally considered aneurysmal. Endovascular repair of abdominal aortic aneurysm (EVAR) represents a widely available alternative to open surgical repair.
The preprocedural evaluation of patients undergoing endovascular repair requires medical risk assessment and a careful quantitative and qualitative evaluation of aortoiliac anatomy to determine suitability for endovascular repair. With early endograft designs, about 50% of patients were not candidates for EVAR because of the site, extent, or morphology of the aneurysm, or unsuitability of access vessels. The availability of devices that allow a shorter proximal seal zone and lower profile devices have expanded the use of EVAR to almost two-thirds of patients with an Abdominal aortic aneurysm.
Endograft imaging is mand
Other data
| Title | Anesthetic Management of Endovascular Aortic Aneurysm Repair | Other Titles | العناية التخديرية لإصلاح تمدد الشريان الأبهر داخل الاوعية الدموية | Authors | Mostafa Sayed Amin Hussein | Issue Date | 2017 |
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