• Ann Card Anaesth · Jan 2016

    Review

    Anesthetic considerations for endovascular abdominal aortic aneurysm repair.

    • Harikrishnan Kothandan, Geoffrey Liew Haw Chieh, Shariq Ali Khan, Ranjith Baskar Karthekeyan, and Shah Shitalkumar Sharad.
    • Department of Anaesthesiology, National Heart Centre, Singapore General Hospital, Singapore.
    • Ann Card Anaesth. 2016 Jan 1; 19 (1): 132-41.

    AbstractAneurysm 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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