Anesthesia for Endovascular Aortic Surgery



Endovascular aortic surgery presents unique challenges to the anesthesia care team. The ability to care for potentially complex vascular problems in patients with a wide range of comorbidities through a relatively noninvasive, percutaneous approach allows for a seemingly endless number of permutations of anesthetic interventions. This can allow for what might be thought of as “interesting” combinations of interventions such as the placement of invasive arterial catheters at multiple sites and/or pulmonary artery catheterization in a patient ­undergoing a procedure under monitored anesthesia care (MAC) with little or no sedation. Furthermore, while the hope is always for a quick and complication-free operative course, the anesthesia care team must be prepared for potential catastrophe given the nature and location of the inherent pathology.


Spinal Cord Ischemia Neuraxial Anesthesia Aortic Pathology Monitor Anesthesia Care Monitor Anesthesia Care 
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© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  1. 1.Department of Anesthesia, Critical Care, and Pain MedicineBeth Israel Deaconess Medical CenterBostonUSA
  2. 2.Department of AnesthesiaHarvard Medical SchoolBostonUSA

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