title: Preoperative evaluation of the vascular surgery patient.
abstract: Patients undergoing vascular surgery present a myriad of perioperative challenges due to the complex comorbidities affecting them in conjunction with high-risk surgical procedures. Additionally, advances in endovascular technology have enabled surgical procedures to be performed on patients who would not have been considered surgical candidates in the past. This combination of increasing patient morbidity and evolving surgical technique requires a well-planned preoperative assessment and close communication with surgical and perioperative colleagues. This article outlines an appropriate approach by first considering each organ system, followed by review of considerations unique to various surgical procedures, and then an overall assessment of risk.
authors.affiliation: Department of Anesthesiology, Beaumont Health System, 3601 West 13-Mile Road, Royal Oak, MI 48073, USA.
authors.forename: Stephen
authors.initials: S
authors.lastname: Sams
authors.affiliation: American Anesthesiology, Mednax National Medical Group, 1301 Concord Terrace, Sunrise, FL 33322, USA.
authors.forename: Katherine
authors.initials: K
authors.lastname: Grichnik
authors.affiliation: Department of Anesthesiology, Beaumont Health System, 3601 West 13-Mile Road, Royal Oak, MI 48073, USA; American Anesthesiology, Mednax National Medical Group, 1301 Concord Terrace, Sunrise, FL 33322, USA. Electronic address: roy.soto@beaumont.edu.
authors.forename: Roy
authors.initials: R
authors.lastname: Soto
mesh_terms: D006801:Humans; D019060:Minimally Invasive Surgical Procedures; D011300:Preoperative Care / Q000379:methods*; D014656:Vascular Surgical Procedures / Q000379:methods*
keywords: Cardiac clearance; Contrast nephropathy; Endovascular; Preoperative evaluation; Vascular surgery