Endovascular (Intraluminal ) AAA, TAA Stents

Updated February 8, 2014
Author: M. Green/L. Mamchur (2009)

Description: Anesthetic Management of Endovascular Abdominal Aortic Aneurysm & Thoracic Aortic Aneurysm repair

For OPEN AAA Management, go to Cardiovascular Page


PreOp (these cases usually done in Room 17)

Induction &  IntraOp

Thoracic Stent: 

If a doing a thoracic stent graft, it is important to drop the BP during proximal deployment therefore clear communication with surgeon is very important.

Adenosine: 

Have ready in the room. Occasionally, surgeon may ask for adenosine to temporarily pause everything during thoracic device deployment. 

 

Post Op

Pain usually managed readily with fentanyl 2-4 mcg/kg intraop. 

Patients typically recover in PACU then go to Short Stay.

 

References