Anesthesia for thoracic aortic endovascular repair

Chapter

Abstract

  • Diseases of the thoracic aorta remain the most challenging procedures for the anesthesiologist given their high level of acuity, their occurrence in debilitated patients and their association with high mortality and morbidity even in the presence of a well conducted surgery and anesthetic. Whereas the open approach has been the gold standard for descending thoracic procedures for long, the advent of endovascular techniques has revolutionized the field and substantially reduced the mortality and morbidity associated with the open approach. As a result, the use of endovascular techniques extended to cover other conditions of the thoracic aorta with encouraging results. The use of endovascular techniques is thus expected to rise. In this chapter we present; the current stance of endovascular techniques and devices in thoracic aortic procedures, a brief summary of the common surgical systems and techniques used in endovascular repair and anesthetic considerations pertaining to this challenging field of cardiac surgery.
  • Authors

    International Standard Book Number (isbn) 13

  • 9781536129175
  • Start Page

  • 165
  • End Page

  • 198