bandage-green

Endovascular Aneurysm Repair (EVAR)

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, arms tucked
Time : 2-4 hours (long)
Blood Loss : Moderate (50 - 200 ml)
Post-op Pain : Minimal (0-3)
Maintenance Paralytic : With GA; none under MAC or regional
Considerations : Arterial line, Fluoroscopy / Xray, Anticoagulation / Antiplatelet Therapy, Deliberate / Controlled Hypotension

Anesthetic Approaches

1GETT
2MAC, Propofol Drip, Local Anesthetic
3Spinal
The Surgery

Access - bilateral common femoral artery access, percutaneous with preclose suture devices or by open cutdown. Wires and sheaths - advanced under fluoroscopy; systemic heparin once access is...

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