Skip to main content
SpringerLink
Log in

Gefäßchirurgie

  • Chapter
Anästhesiologie

  • 40 Accesses

Zusammenfassung

Gefäßchirurgische Eingriffe umfassen die großen zentralen Arterien, v a. die Aorta und deren Abgänge, die peripheren Arterien und das gesamte venöse System. Im folgenden sind Operationen an den peripheren Gefäßen und am Venensystem ausgeklammert; das Kapitel beschränkt sich auf Eingriffe an der thorakalen und abdominalen Aorta sowie den von ihr abgehenden großen Arterie, v a. im Bereich des Aortenbogens, da diese sowohl chirurgisch als auch anästhesiologisch Spezialgebiete darstellen.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 54.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  1. Bageant TE, Tondini D, Lysons D (1975) Bilateral hypoglossal nerve palsy following a second carotid endarterectomy. Anesthesiology 43: 595–596

    Article  PubMed  CAS  Google Scholar 

  2. Berendes JN, Bredee JJ, Schipperheyn JJ, Mashhour YA (1982) Mechanisms of spinal cord injury after cross-clamping of the descending thoracic aorta. Circulation 66:I 112–116

    Google Scholar 

  3. Berkhoff HA, Folette DM (1992) Paraplegia associated with thoracic aortic surgery. Chest Surg Clin North Am 2: 379–396

    Google Scholar 

  4. Borst HG, Lass J, Heinemann M (1991) Type A aortic dissections: diagnosis and management of malperfusion phenomena. Semin Thorac Cardiovasc Surg 3: 238–241

    PubMed  CAS  Google Scholar 

  5. Carrel T, Pasic M, Schmid ER, Turina M (1993) Cardiac and hemodynamic effects of infrarenal aortic clamping during repair of abdominal aortic aneurysms. A reason for combined coronary bypass and aneurysm repair in patients with severe coronary artery disease. Vasc Surg 27: 337–343

    Google Scholar 

  6. Cigarroa JE, Isselbacher EM, deSanctis RW, Eagle KA (1993) Diagnostic imaging in the evaluation of suspected aortic dissection. N Engl J Med 328: 35–43

    Article  PubMed  CAS  Google Scholar 

  7. Colson P, Capdevilla X, Barlet H, Seguin JR, Masty-Ane C, Roquefeuil B (1992) Effects of halothane and isoflurane on transient renal dysfunction associated with infrarenal aortic cross clamping. J Cardiothorac Vasc Surg 6: 295–298

    Article  CAS  Google Scholar 

  8. Crawford ES, Saleh SA, Babb JW, Glaeser DH, Vaccaro PS, Silvers A (1981) Infrarenal aortic aneurysm. Factors influencing survival after operation performed over a 25-year period. Ann Surg 193: 699–708

    Article  PubMed  CAS  Google Scholar 

  9. Crawford ES, Snider DM (1983) Treatment of aneurysms of the aortic arch. J Thorac Cardiovasc Surg 85: 237–246

    PubMed  CAS  Google Scholar 

  10. Crawford ES, Coselli JS (1991) Thoracoabdominal aneurysm surgery. Semin Thorac Cardiovasc Surg 3: 300–322

    PubMed  CAS  Google Scholar 

  11. Cunningham FO, Egan JM, Inahara T (1981) Continuous epidural anesthesia in abdominal vascular surgery. A review of 100 consecutive cases. Am J Surg 139: 624–627

    Article  Google Scholar 

  12. Daily PO, Trueblood HW, Stinson EB, Wuerflein RD, Shumway NE (1970) Management of acute aortic dissections. Ann Thorac Surg 10: 237–247

    Article  PubMed  CAS  Google Scholar 

  13. DeBakey ME, Cooley DA, Creech O (1955) Surgical considerations of dissecting aneurysms of the aorta. Ann Surg 142: 586–612

    Article  CAS  Google Scholar 

  14. Diehl JT, Cali RF, Hertzer NR, Even EG (1983) Complications of abdominal aortic reconstruction. Analysis of perioperative risk factors in 557 patients. Ann Surg 197: 49–56

    PubMed  CAS  Google Scholar 

  15. Eagle KA, Singer DC, Darling RC, Mulley AG, Boucher CA (1987) Dipyridamol-thallium scanning in patients undergoing vascular surgery. Optimizing preoperative evaluation of cardiac risk. JAMA 257: 2185–2189

    Article  PubMed  CAS  Google Scholar 

  16. Egle R (1987) Atemwegsobstruktion bei Hypoglossusparese nach bilateraler Carotis-Endarterectomie. Med. Dissertation, Universität Zürich

    Google Scholar 

  17. Egloff L, Dimai W, Schneider E, Kugelmeier J, Turina M, Senning A (1983) Das Bauchaortenaneurysma beim über 70jährigen Patienten–soll es in jedem Fall operiert werden? Schweiz Med Wochenschr 113: 208–211

    PubMed  CAS  Google Scholar 

  18. Ergin MA, Galla JD, Lansman SL, Taylor M, Griepp RB (1991) Distal perfusion methods for surgery of the descending aorta. Semin Thorac Cardiovasc Surg 3: 293–299

    PubMed  CAS  Google Scholar 

  19. Fegert G, Hollenberg M, Browner W, Wellington Y, Levenson L, Franks M, Harris D, Mangano D (1988) Perioperative myocardial ischemia in the noncardiac surgical patient (abstract). Anesthesiology 69: A49

    Article  Google Scholar 

  20. Fielding JW, Black J, Ashton F, Slaney G, Campbell DJ (1981) Diagnosis and management of 528 abdominal aortic aneurysms. Br Med J 283: 355–359

    Article  CAS  Google Scholar 

  21. Galloway AC, Colvin SC, Grossi EA, Parish MA, Culliford AT, Asai T, Rofsky NM, Weinreb JC, Shapiro S, Baumann FG et al. (1993) Surgical repair of type A aortic dissection by the circulatory arrest-graft inclusion technique in sixty-six patients. J Thorac Cardiovasc Surg 105: 781–790

    PubMed  CAS  Google Scholar 

  22. Gelman S (1992) Halothane or isoflurane for infrarenal aortic cross-clamping? J Cardiothorac Vasc Anesth 6: 268–269

    Article  PubMed  CAS  Google Scholar 

  23. Gewertz BL, Kremser PC, Zarins CK, Smith JS, Ellis JE, Feinstein SB, Roizen MF (1987) Transesophageal echocardiographic monitoring of myocardial ischemia during vascular surgery. J Vasc Surg 5: 607–613

    PubMed  CAS  Google Scholar 

  24. Goldman L (1988) Assessment of the patient with known or suspected ischemic heart disease for non-cardiac surgery. Br J Anaesth 61: 38–43

    Article  PubMed  CAS  Google Scholar 

  25. Gott VL (1972) Heparinized shunts for thoracic aortic aneurysms. Ann Thorac Surg 14: 219–220

    Article  PubMed  CAS  Google Scholar 

  26. Govier AV (1989) Central nervous system complications after cardiopulmonary bypass. In: Tinker JH (ed) Cardiopulmonary bypass: Current concepts and controversies. Saunders, Philadelphia, pp 41–68

    Google Scholar 

  27. Gregory RT, Wheeler JR, Snyder SO, Gayle RG, Love LP (1989) Retroperitoneal approach to aortic surgery. J Cardiovasc Surg 30: 185–189

    CAS  Google Scholar 

  28. Hertzer NR, Beven EG, Young JR, Ohara PJ, Ruschhaupt WF III, Graor IR, Dewolfe VG, Maljovek LC (1983) Coronary artery disease in peripheral vascular patients. A classification of 1000 coronary arteriograms and results of surgical management. Ann Surg 119: 223–233

    Google Scholar 

  29. Hildebrand HD, Chung WB (1971) Abdominal aortic aneurysmectomy: a comparative study of morbidity and mortality. Am Surg 37: 476–481

    PubMed  CAS  Google Scholar 

  30. Kouchoukos NT, Lell WA, Karp RB, Samuelson PN (1979) Hemodynamic effects of aortic clamping and decompression with a temporary shunt for resection of the descending thoracic aorta. Surgery 85: 25–30

    PubMed  CAS  Google Scholar 

  31. Kouchoukos NT, Karp RB, Blackstone EH, Kirklin JW, Pacifico AD, Zorn GL (1980) Replacement of the ascending aorta and aortic valve with a composit graft. Ann Surg 192: 403–413

    Article  PubMed  CAS  Google Scholar 

  32. Lawrie GM, Earle N, DeBakey ME (1993) Long-term fate of the aortic root and aortic valve after ascending aneurysm surgery. Ann Surg 217: 711–720

    Article  PubMed  CAS  Google Scholar 

  33. Lee KS, Davis CH Jr, McWhorter JM (1988) Low morbidity and mortality of carotid endarterectomy performed with regional anesthesia. J Neurosurg 69: 483–487

    Article  PubMed  CAS  Google Scholar 

  34. Livesay JJ, Cooley DA, Ventemiglia RA, Montero CG, Warrian RK, Brown DM, Duncan JM (1985) Surgical experience in descending thoracic aneurysmectomy with and without adjuncts to avoid ischemia. Ann Thorac Surg 39: 37–46

    Article  PubMed  CAS  Google Scholar 

  35. Mahfood S, Qazi A, Garcia J, Mispireta L, Corso P, Smyth N (1985) Management of aortic arch aneurysm using profound hypothermia and circulatory arrest. Ann Thorac Surg 39: 412–417

    Article  PubMed  CAS  Google Scholar 

  36. Mahla ME (1994) Carotid artery surgery: anesthesia and monitoring update. Semin Anesth 13: 75–85

    Google Scholar 

  37. Mangano DT (1990) Perioperative cardiac morbidity. Anesthesiology 72: 153–184

    Article  PubMed  CAS  Google Scholar 

  38. Mangano DT, Browner WS, Hollenberg M, London MJ, Tuban JF, Tateo IM, and the Study of Perioperative Ischemia Research Group (1990) Association of peri-operative myocardial ischemia with cardiac morbidity and mortality in men undergoing noncardiac surgery, N Engl J Med 323: 1781–1788

    Article  PubMed  CAS  Google Scholar 

  39. Messick JM Jr, Casement B, Sharbrough FW, Milde LN, Michenfelder JD, Dundt TM Jr (1987) Correlation of regional cerebral blood flow (rCBF) with EEG changes during isoflurane anesthesia for carotid endarterectomy: critical rCBF. Anesthesiology 66: 344–349

    Article  PubMed  Google Scholar 

  40. Miller DC, Myers BD (1987) Pathophysiology and pre- 58. vention of acute renal failure associated with thoracoabdominal or abdominal aortic surgery. J Vasc Surg 5: 518–523 59.

    Google Scholar 

  41. Miller DC (1991) Surgical management of acute aortic dissection: new data. Semin Thorac Cardiovasc Surg 3: 225–237 60.

    Google Scholar 

  42. Nacht A (1994) Anesthesia for surgery of the descending aorta. Semin Anesth 13: 63–74

    Google Scholar 

  43. Norris EJ, Fleisher LA (1994) Preoperative risk assess- 61. ment in patients presenting for major vascular surgery. Semin Anesth 13: 2–13

    Google Scholar 

  44. Petracek MR, Lawson JD, Rhea WR, Richie RE, Dean RH (1980) Resection of aortic aneurysm in the over 80 age group. South Med J 73: 579–581

    Article  PubMed  CAS  Google Scholar 

  45. Pillai R, Venn G, Lennox S, Paneth M (1984) Elective 62. femorofemoral bypass for operations on the heart and great vessels. J Thorac Cardiovasc Surg 88: 635–637

    PubMed  CAS  Google Scholar 

  46. Priebe HJ (1989) Isoflurane and coronary hemodynamics. Anesthesiology 71: 960–976

    Article  PubMed  CAS  Google Scholar 

  47. Prys-Roberts C (1988) Anaesthetic considerations for the patient with coronary artery disease. Br J Anaesth 61: 85–96

    Article  PubMed  CAS  Google Scholar 

  48. Reiz S, Ostman M (1985) Regional coronary hemo- 64. dynamics during isoflurane-nitrous oxide anesthesia in patients with ischemic heart disease. Anesth Analg 64: 570–576

    Article  PubMed  CAS  Google Scholar 

  49. Richardson JV, Allen WB, McDowell HA (1980) Sur- 65. gical management of ruptured abdominal aortic aneurysm. Am Surg 46: 289–294

    PubMed  CAS  Google Scholar 

  50. Richter JA, Barankay A (1991) Anästhesiologische Aspekte bei Aneurysmen der thorakalen Aorta. In: Pasch T, Schmid ER (Hrsg) Anästhesie and kardiovas- 67. kuläres System. Springer, Berlin Heidelberg New York Tokyo (Klinische Anästhesiologie and Intensivmedizin, Bd 41, S 223–233 )

    Google Scholar 

  51. Roizen MF, Beaupre PN, Alpert RA et al. (1984) Moni- 68. toring with two-dimensional transesophageal echocardiography: comparison of myocardial function in patients undergoing supraceliac, suprarenal-infraceliac, or infrarenal aortic occlusion. J Vasc Surg 1: 300–305

    PubMed  CAS  Google Scholar 

  52. Roizen MF, Ellis JE (1992) Anesthesia for vascular surgery. In: Barash PG, Cullen BF, Stoelting RK (eds) Clinical anesthesia, 2nd edn. Lippincott, Philadelphia, pp 1059–1094

    Google Scholar 

  53. Rokey R, Rolak LA, Harati J, Kurka N, Verani MS (1984) Coronary artery disease in patients with cerebro-vascular disease: a prospective study. Ann Neurol 16: 50–53

    Article  PubMed  CAS  Google Scholar 

  54. Rothenberg DM (1992) Anesthetic management of thoracic aortic surgery. Chest Surg Clin North Am 2: 241–249

    Google Scholar 

  55. Roytblat L, Gelman S, Henderson T, Bradley E (1991) 72. Humoral factors and hemodynamics during cross-clamping of the thoracic aorta. J Cardiothorac Vasc Anesth 4: 10–14

    Article  Google Scholar 

  56. Ruckert RF, Meier WE, Senning A (1981) Das infra-renale Bauchaortenaneurysma. Klinik, Therapie and 73. Langzeitprognose. Schweiz Med Wochenschr 111: 1274–1282

    PubMed  CAS  Google Scholar 

  57. Schmid ER (1991) Der kardiale Risikopatient in der Anästhesie. Ther Umschau 48: 365–373

    CAS  Google Scholar 

  58. Schmid ER, Schmidlin D (1991) Anästhesie and koronare Herzkrankheit ( Schweizer Fachmeinung ). Herz-Kreislauf 3: 6–14

    Google Scholar 

  59. Schmid ER, Tornic M (1994) Accuracy of continuous cardiac output monitoring by thermodilution (abstract). Anesthesiology 8 (Suppl): A519

    Google Scholar 

  60. Scobie K, MacPhail N, Hubbard C (1977) Early and late results of resection of abdominal aortic aneurysms. Can Med Assoc J 147–150

    Google Scholar 

  61. Seeling W, Ahnefeld FW, Grünert A, Heinrich H, Lotz P, Rosenberg G, Wieser E (1986) Aortofemoraler Bifurkationsbypass. Der Einfluß des Anaesthesieverfahrens (NLA, thorakale kontinuierliche Katheterperiduralanaesthesie) auf Kreislauf, Atmung and Stoffwechsel. Anästhesist 35: 80–92

    CAS  Google Scholar 

  62. Segesser LK von, Burki H, Schneider K, Siebenmann R, Schmid ER, Turina M (1988) Die Chirurgie der Aneurysmen der deszendierenden thorakalen Aorta and Paraplegie. Helv Chir Acta 55: 503–508

    Google Scholar 

  63. Segesser LK von, Killer I, Jenni R, Lutz U, Turina MI (1993) Improved distal circulatory support for repair of descending thoracic aortic aneurysms. Ann Thorac Surg 56: 1373–1380

    Article  Google Scholar 

  64. Shah KB, Kleinman BS, Rao TLK, Jacobs HK, Mestan K, Schaafsma M (1990) Angina and other risk factors in patients with cardiac diseases undergoing noncardiac operations. Anesth Analg 70: 240–247

    Article  PubMed  CAS  Google Scholar 

  65. Shenaq SA, Svensson LG (1993) Paraplegia following aortic surgery. J Cardiothorac Vasc Anesth 7:81–94

    Article  PubMed  CAS  Google Scholar 

  66. Sieber FE, Smith DS, Traystman RJ, Wollman H (1987) Glucose: a reevaluation of its intraoperative use. Anesthesiology 67: 72–8

    Article  PubMed  CAS  Google Scholar 

  67. Silverstein PR, Caldera DL, Cullen DJ, Darison JK, Darling RC, Emerson CW (1979) Avoiding the hemodynamic consequences of aortic cross-clamping and unclamping. Anesthesiology 50: 462–466

    Article  PubMed  CAS  Google Scholar 

  68. Symbas PN, Pfaender LM, Drucker MH, Lester JL, Gravanis MB, Zacharopoulos L (1983) Cross-clamping of the descending aorta, hemodynamic and neurohumoral effects. J Thorac Cardiovasc Surg 85: 300–305

    PubMed  CAS  Google Scholar 

  69. Szilagyi DE, Elliott JP (1972) Clinical fate of the patient with asymptomatic abdominal aortic aneurysm and unfit for surgical treatment. Arch Surg 104: 600–606

    Article  PubMed  CAS  Google Scholar 

  70. Treiman RL, Levine KA, Cohen JL, Cossmann DV, Foran RF, Philip ML (1982) Aneurysmectomy in the octogenarian. A study of morbidity and quality of survival. Am J Surg 144: 194–197

    Article  PubMed  CAS  Google Scholar 

  71. Verdant A, Pagé A, Cossette R, Dontigny L, Pagé P, Baillot R (1988) Surgery of the descending thoracic aorta: spinal cord protection with the Gott shunt. Ann Thorac Surg 46: 147–154

    Article  PubMed  CAS  Google Scholar 

  72. Williams GM, Perler BA, Burdick JF, Osterman FA Jr, Mitchell S, Merine D, Dreuger B, Parker SD, Beattie C, Reitz BA (1991) Angiographic localization of spinal cord blood supply and its relationship to postoperative paraplegia. J Vasc Surg 13: 23–35

    Article  PubMed  CAS  Google Scholar 

  73. Yelderman ML, Ramsay MA, Quinn MD, Paulsen AW, McKown RC, Gillman PH (1992) Continuous thermodilution cardiac output measurement in intensive care unit patients. J Cardiothorac Vasc Anesth 6: 270–274

    Article  PubMed  CAS  Google Scholar 

Download references

Authors
  1. E. R. Schmid
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. R. Gattiker
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Institut für experimentelle Anästhesiologie, Ludwig-Maximilians-Universität, Bereich Poliklinik, Pettenkoferstr. 8 a, D-80336, München, Deutschland

    Alfred Doenicke

  2. Zentrum Anästhesiologie, Rettungs- und Intensivmedizin, Universität Göttingen, Robert-Koch-Str. 40, D-37070, Göttingen, Deutschland

    Dietrich Kettler

  3. Universitätsklinik für Anästhesiologie, LKH Graz, Auenbruggerplatz, A-8036, Graz, Österreich

    Werner F. List

  4. Klinik für Anästhesiologie und Operative Intensivmedizin, Martin-Luther-Universität Halle-Wittenberg, Ernst-Grube-Straße 40, D-06097, Halle (Saale), Deutschland

    Joachim Radke

  5. Institut für klinische Anästhesiologie, Heinrich-Heine-Universität Düsseldorf, Moorenstr. 5, D-40001, Düsseldorf, Deutschland

    Jörg Tarnow

Rights and permissions

Reprints and permissions

Copyright information

© 1995 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Schmid, E.R., Gattiker, R. (1995). Gefäßchirurgie. In: Doenicke, A., Kettler, D., List, W.F., Radke, J., Tarnow, J. (eds) Anästhesiologie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-97553-0_25

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-97553-0_25

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-97554-7

  • Online ISBN: 978-3-642-97553-0

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation