[Angioplasties: is anesthesia necessary?].
Percutaneous transluminal angioplasty of lower limbs, renal, mesenteric, coronary or supra-aortic arteries is a technique in progress. Nevertheless patients concerned are high-risk patients who are always anxious about the angioplasty result. Ambulatory anaesthesia is required. Local anaesthesia of artery puncture site is effective. Low-osmolality contrast media should be chosen to reduce injection pain. Calcium blockers and molsidomine could prevent "arterial vasospasme". Finally, the major aim of anaesthesia is to limit patient's anxiety. In most cases orally premedication is enough. The presence of the anaesthesiologist during the procedure is not required but resuscitation devices must be available.
Charpentier
C
C
Département d'Anesthésie-Réanimation, CHU Hôpital Central, Nancy.
D000293:Adolescent; D000328:Adult; D000556:Ambulatory Surgical Procedures; D000758:Anesthesia / Q000379:methods*; D017130:Angioplasty; D002648:Child; D016292:Procedural Sedation; D006801:Humans
Angioplasties: faut-il une anesthésie?