bandage-green

Peripheral Endovascular Intervention (Angioplasty / Atherectomy / Stenting)

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, arms tucked, Bed turned 90 degrees
Time : 2-4 hours (long)
Blood Loss : Low (10-50 ml)
Post-op Pain : Moderate (4-6)
Maintenance Paralytic : Only on the general anesthetic path, and for immobility rather than access. Most run on local plus sedation.
Considerations : Off-site, Fluoroscopy / Xray, Arterial line, Anticoagulation / Antiplatelet Therapy

Anesthetic Approaches

1MAC, Propofol Drip, Local Anesthetic
2GETT, TIVA
3Spinal, Conscious Sedation
The Surgery

Decide that an endovascular approach fits - the lesion has to be crossable and the patient has to have inflow above it and runoff below it. Claudication is treated for quality of life and is a...

Continue reading

Read the full surgery post with a free account

Free. It opens every drug, surgery and condition in the library.

Already have an account?