DOI: 10.4103/aca.aca_97_23 ISSN: 0971-9784

Anesthetic Considerations in Combined TAVR and Aortic Endovascular Procedures, a Case Report

Mario Zaccarelli, Tarek S. Testa, Giuseppe Buscaglia, Giovanni Pratesi, Gabriele Crimi, Manrico Balbi, Sara Di Gregorio, Simona Silvetti
  • Anesthesiology and Pain Medicine
  • Cardiology and Cardiovascular Medicine
  • General Medicine

ABSTRACT

We report a case of simultaneous transcatheter aortic valve replacement and endovascular aneurysm repair. Our aim was to advocate the role of local and regional anesthesia as a key contributor in maintaining hemodynamic stability and avoiding abrupt blood pressure change. Endovascular combined procedures are gaining popularity for their numerous advantages. Nevertheless, they carry significant risks for their hemodynamic implications. It is imperative to acknowledge the modifications occurring after each correction and act accordingly. Different anesthesia approaches can dramatically influence hemodynamics; among all, we found local and regional anesthesia would better serve this objective.

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