Anesthetic management integrated in “Aorta Team” approach for Total endovascular aortic arch repair: A case series

Authors

  • Ana Margarida Martins Anesthesiology Department, Local Health Unit of São José, Lisbon, Portugal
  • Filipa Aguiar Anesthesiology Department, Local Health Unit of São José, Lisbon, Portugal
  • Ana Ferro Anesthesiology Department, Local Health Unit of São José, Lisbon, Portugal

DOI:

https://doi.org/10.48729/pjctvs.449

Keywords:

Endovascular Aneurysm Repair, Anesthesia, Perioperative Care, Aortic Arch Aneurysm

Abstract

Total endovascular aortic arch repair is nowadays a promising alternative for selected patients with aortic arch disease. These endovascular procedures are technically challenging and require a diligent planning among all members of a multidisciplinary “Aorta Team” integrating cardiovascular anesthesiologists. In fact, endovascular aortic arch repair is a major challenge for anesthesiologists because of the risk of hemodynamic instability, cerebral events and acute kidney injury. In order to achieve the success, it is fundamental to discuss each patient in an individual basis, including perioperative management and care, and to be aware of surgical steps and their potential complications. Considering our previous experience with endovascular thoracoabdominal aortic surgery, we herein summarize our experience with anesthetic management of patients who underwent total endovascular aortic arch repair and its principal outcomes.

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References

Jubouri M, Al-Tawil M, Tan SZCP, Geragotellis A, Hussain M, Bashir M, et al. Total endovascular aortic arch repair: is it for everyone and where is its evidence? Vessel Plus. 2023; 7(5). doi:10.20517/2574-1209.2022.49.

Tenorio, E, Macedo, T, Ocasio, L. et al. Total Transfemoral Percutaneous Endovascular Aortic Arch Repair Using 3-Vessel Inner Branch Stent-Graft. J Am Coll Cardiol Case Rep. 2022; 4(24). doi:10.1016/j.jaccas.2022.10.012.

Lee KB, Porras-Colon J, Scott CK, Chamseddin K, Baig MS, Timaran CH. Early Results and Feasibility of Total Endovascular Aortic Arch Repair Using 3-Vessel Company-Manufactured and Physician-Modified Stent-Grafts. J Endovasc Ther. 2023;28. doi: 10.1177/15266028231163069.

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Published

07-07-2024

How to Cite

1.
Martins AM, Aguiar F, Ferro A. Anesthetic management integrated in “Aorta Team” approach for Total endovascular aortic arch repair: A case series. Rev Port Cir Cardiotorac Vasc [Internet]. 2024 Jul. 7 [cited 2024 Jul. 18];31(2):51-3. Available from: https://pjctvs.com/index.php/journal/article/view/449

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Clinical Cases

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