title: Perioperative management of lower extremity revascularization.
abstract: Patients presenting for lower extremity revascularization often have multiple systemic comorbidities, making them high-risk surgical candidates. Neuraxial anesthesia and general anesthesia are equivocal in their effect on perioperative cardiac morbidity and improved graft patency. Postoperative epidural analgesia may improve perioperative cardiac morbidity. Systemic antithrombotic and anticoagulation therapy is common among this patient population and may affect anesthetic techniques.
authors.affiliation: St. Luke's Medical Group, CHI St. Luke's Health, 6720 Bertner Avenue, Room 0520, MC 1-226, Houston, TX 77030, USA; Division of Cardiovascular Anesthesiology, Texas Heart Institute, Baylor St. Luke's Medical Center, 6720 Bertner Avenue, Room 0520, MC 1-226, Houston, TX 77030, USA. Electronic address: james.anton@sbcglobal.net.
authors.forename: James M
authors.initials: JM
authors.lastname: Anton
authors.affiliation: Department of Anesthesiology, Perioperative and Pain Medicine, Stanford Hospital and Clinics, 300 Pasteur Drive, Stanford, CA 94305, USA.
authors.forename: Marie LaPenta
authors.initials: ML
authors.lastname: McHenry
mesh_terms: D000758:Anesthesia / Q000379:methods; D006801:Humans; D035002:Lower Extremity / Q000601:surgery*; D010149:Postoperative Pain / Q000628:therapy; D019990:Perioperative Care / Q000379:methods*; D014652:Vascular Diseases / Q000150:complications / Q000601:surgery; D014656:Vascular Surgical Procedures / Q000379:methods*
keywords: Atherosclerosis; Cardiovascular morbidity; General anesthesia; Graft patency; Neuraxial blockade; Peripheral arterial disease; Revascularization of lower extremity