title: Anesthetic considerations for endovascular abdominal aortic aneurysm repair.
abstract: Aneurysm is defined as a localized and permanent dilatation with an increase in normal diameter by more than 50%. It is more common in males and can affect up to 8% of elderly men. Smoking is the greatest risk factor for abdominal aortic aneurysm (AAA) and other risk factors include hypertension, hyperlipidemia, family history of aneurysms, inflammatory vasculitis, and trauma. Endovascular Aneurysm Repair [EVAR] is a common procedure performed for AAA, because of its minimal invasiveness as compared with open surgical repair. Patients undergoing EVAR have a greater incidence of major co-morbidities and should undergo comprehensive preoperative assessment and optimization within the multidisciplinary settings. In majority of cases, EVAR is extremely well-tolerated. The aim of this article is to outline the Anesthetic considerations related to EVAR.
authors.affiliation: Department of Anaesthesiology, National Heart Centre, Singapore General Hospital, Singapore.
authors.forename: Harikrishnan
authors.initials: H
authors.lastname: Kothandan
authors.forename: Geoffrey Liew
authors.initials: GL
authors.lastname: Haw Chieh
authors.forename: Shariq Ali
authors.initials: SA
authors.lastname: Khan
authors.forename: Ranjith Baskar
authors.initials: RB
authors.lastname: Karthekeyan
authors.forename: Shah Shitalkumar
authors.initials: SS
authors.lastname: Sharad
mesh_terms: D000758:Anesthesia; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D057510:Endovascular Procedures / Q000379:methods*; D006801:Humans; D019990:Perioperative Care; D012307:Risk Factors; D012907:Smoking / Q000009:adverse effects