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Intraprocedural Monitoring for Endovascular Procedures

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Peripheral Endovascular Interventions

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Abstract

Peripheral (non-cardiac) endovascular interventions have penetrated the field of vascular surgery, and it is the standard of care in many occasions. Compared to traditional open peripheral operations, the minimal access and image-guided interventions have many advantages including shorter hospital stay and faster patient recovery. However, the interventions remain a high-risk procedure due to patients advanced age and significant comorbidities such as coronary artery disease and chronic renal and pulmonary disease. Procedure-specific factors further modulate the pre-existing risk factors and may add further complications during the procedure and in the postprocedural period. For example, in patients undergoing thoracic endovascular aortic repair (TEVAR), specific complications such as spinal cord injury and stroke are the focus of intraprocedural neurophysiologic monitoring, because neurological deficits remain of the most devastating complications after peripheral endovascular interventions.

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Author information

Authors and Affiliations

  1. Director of Aortic and Arrhythmia Surgery, Division of Cardiothoracic and Vascular Surgery, Department of Surgery, Creighton University Medical Center, Omaha, NE, USA

    Ali Khoynezhad MD, PhD, FACS (Associate Professor)

  2. Section of Vascular Surgery, Department of Surgery, University of Nebraska Medical Center, Omaha, NE, USA

    G. Matthew Longo MD (Assistant Professor)

Authors
  1. Ali Khoynezhad MD, PhD, FACS
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  2. G. Matthew Longo MD
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Editors and Affiliations

  1. Alpine Road 3270, Portola Valley, 94028, California, USA

    Thomas J. Fogarty

  2. Harbor-UCLA Medical Center, W. Carson St. 1000, Torrance, 90509, California, USA

    Rodney A. White

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Khoynezhad, A., Longo, G.M. (2010). Intraprocedural Monitoring for Endovascular Procedures. In: Fogarty, T., White, R. (eds) Peripheral Endovascular Interventions. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-1387-6_6

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  • DOI: https://doi.org/10.1007/978-1-4419-1387-6_6

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