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Updated: May 30, 2026

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
Published on: January 18, 2018
Perioperative management and "Fast-Track" therapy in vascular medicine
E S Debus1, A Ivoghli, M Goepfert
1Clinic and Policlinic for Vascular Medicine, University Heart Center Hamburg, University Medical Center Hamburg-Eppendorf, Germany. debus@uke.de
Insights
The Fast-Track concept, optimizing perioperative mobilization in vascular surgery, improves patient outcomes and reduces hospital stays. This approach enhances recovery, especially for patients with cardiovascular comorbidities.
Area of Science:
- Vascular Surgery
- Anesthesiology
- Physiotherapy
Background:
- Vascular surgery patients face high perioperative risks due to cardiovascular comorbidity.
- Optimizing patient condition and early mobilization are crucial for managing these risks.
Purpose of the Study:
- To systematically review the application and experience of the Fast-Track concept in vascular surgery.
- To evaluate the benefits of Fast-Track protocols in vascular patient management.
Main Methods:
- Systematic review of current literature on the Fast-Track concept in vascular surgery.
- Analysis of perioperative management strategies focusing on early mobilization and multidisciplinary cooperation.
Main Results:
- The Fast-Track concept, adapted from general surgery, shows potential benefits in vascular surgery.
- Implementation can lead to improved perioperative condition, reduced complications, and shorter hospital stays.
Conclusions:
- The Fast-Track concept offers advantages for vascular surgery, particularly for multimorbid patients.
- Multidisciplinary collaboration is key to optimizing perioperative mobilization and patient outcomes in vascular medicine.
Abstract:
Perioperative risk in vascular medicine is particularly high due to the increased prevalence of cardiovascular comorbidity. Therefore, it is of the utmost importance that during periprocedural management the patient remains in good general condition and that the patient is mobilized as soon as possible. Along with implementation of minimally-invasive techniques and endovascular procedures, networking and cooperation between the surgeon, anesthesiologist, physiotherapist and the nursing team can lead to an optimization of perioperative mobilization. The Fast-Track concept represents uncharted territory in the field of vascular surgery and it can provide advantages, particularly in relation to multimorbidity in the field of vascular medicine. The Fast-Track concept was introduced by Danish surgeon Henrik Kehlet and was originally intended to be implemented in general surgery. When compared to conventional management, this method offers better medical results, lower costs and other advantages for the patient: besides a better perioperative condition a reduction of postoperative complications and reduction of overall in-hospital stay was achieved. Therefore, the next logical step was to introduce and adapt this concept to other fields of operative medicine. This paper represents a systematic review on the actual experience of the fast-track concept in vascular surgery.
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