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首页> 外文期刊>Current opinion in anaesthesiology >Anesthesia for other endovascular stenting.
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Anesthesia for other endovascular stenting.

机译：麻醉用于其他血管内支架。

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PURPOSE OF REVIEW: Diagnostic and therapeutic endovascular stenting tended to expand in the last decade. The anesthetist may be asked to participate in the management of these patients with severe associated comorbidities complicating the delivery of anesthesia. This review describes current vascular stentings performed in the radiology suite and their relevant consequences interesting the anesthetist. RECENT FINDINGS: Most of these procedures can be performed under local anesthesia associated or not with moderate sedation. Carotid stenting is as well tolerated as carotid surgery but those selected patients who may benefit from it are not clearly identified. Endovascular stenting of the aorta avoids major surgical trauma and decreases its consequences. The procedure requires light anesthesia but careful monitoring. Prior thoracic aortic replacement and the length of zone numbers covered by the stent graft are risk factors for spinal ischemia that may lead to paraplegia. Cerebrospinal fluid drainage, evoked potential, and S100 beta monitoring may help to prevent this complication or detect it earlier. Transjugular intrahepatic portosystemic shunt is efficient in treating acute variceal bleeding and for secondary prevention. Postoperative encephalopathy represents the main postprocedural complication. SUMMARY: Literature review provides little information about anesthetic management of extracranial endovascular stentings. Knowledge of indication and consequences is mandatory for anesthetists in charge of these patients.
机译：审查目的：在过去的十年中，诊断性和治疗性血管内支架术趋于扩大。可能会要求麻醉师参与这些伴有严重合并症的患者的治疗，这些并发症会使麻醉工作更加复杂。这篇综述描述了目前在放射科中进行的血管支架置入术及其麻醉师感兴趣的相关后果。最近的发现：这些程序中的大多数都可以在伴有或不伴有中等镇静作用的局部麻醉下进行。颈动脉支架置入术与颈动脉外科手术一样耐受，但是尚不清楚明确选择那些可能从中受益的患者。主动脉的血管内支架避免了重大的外科手术创伤并减少了其后果。该过程需要轻度麻醉，但要仔细监测。先前的胸主动脉置换术和覆膜支架覆盖的区域数目的长度是可能导致截瘫的脊柱缺血的危险因素。脑脊液引流，诱发电位和S100 beta监测可能有助于预防这种并发症或及早发现。经颈静脉肝内门体分流术可有效治疗急性静脉曲张破裂出血和二级预防。术后脑病是主要的术后并发症。简介：文献综述几乎没有提供有关颅外血管内支架置入术麻醉治疗的信息。对于负责这些患者的麻醉师，必须了解适应症和后果。

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