title: Intraoperative management: peripheral vascular surgery.
abstract: Lower extremity atherosclerotic disease affects nearly 10 million people in the United States. Recent advances in diagnostic imaging and interventional techniques help many patients avoid more invasive surgical procedures. Those reaching the operating room, however,represent a distilled subset of patients who are prone to significant comorbidities. We outline current treatment strategies and discuss anesthetic concerns and techniques for these complex patients.
authors.affiliation: Department of Anesthesiology, National Naval Medical Center, Bethesda, 8901 Jones Bridge Road, Bethesda, MD 20814, USA. rpserianni@bethesda.navy.mil
authors.forename: Richard P
authors.initials: RP
authors.lastname: Serianni
authors.forename: Cynthia H
authors.initials: CH
authors.lastname: Shields
authors.forename: Dale S
authors.initials: DS
authors.lastname: Szpisjak
authors.forename: Paul D
authors.initials: PD
authors.lastname: Mongan
mesh_terms: D000758:Anesthesia; D000818:Animals; D000925:Anticoagulants / Q000627:therapeutic use; D006801:Humans; D007430:Intraoperative Care; D016491:Peripheral Vascular Diseases / Q000150:complications / Q000601:surgery* / Q000628:therapy; D012307:Risk Factors; D014656:Vascular Surgical Procedures
chemical_list: D000925:Anticoagulants