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Optimal perioperative medication utilization in patients having arterial intervention
Bernardo C Mendes1, Erin S DeMartino2, Randall R DeMartino1
1Division of Vascular and Endovascular Surgery, Mayo Clinic, 200 First Street SW, Rochester, MN 55905.
Seminars in Vascular Surgery
|December 15, 2015
Summary
Optimizing perioperative medical management, including statins, antiplatelet agents, and beta-blockers, is crucial for patients undergoing arterial vascular procedures. This review synthesizes evidence for best practices in managing complex comorbidities for improved surgical outcomes.
Area of Science:
- Vascular Surgery
- Cardiology
- Anesthesiology
Background:
- Patients undergoing arterial vascular procedures often have significant comorbidities.
- Managing these complex conditions perioperatively is challenging and requires a multidisciplinary approach.
Purpose of the Study:
- To review current evidence on optimal perioperative medical management for arterial vascular surgery.
- To address the use of statins, antiplatelet agents, and beta-blockers in this patient population.
Main Methods:
- Literature review of recent studies on perioperative medical management.
- Focus on evidence related to carotid, aortic, and peripheral arterial procedures (open and endovascular).
Main Results:
- Conflicting evidence exists regarding the perioperative use of certain medications.
- Optimization of medical management is key for excellent surgical outcomes.
Conclusions:
- Careful perioperative management of comorbidities is essential for patients undergoing arterial vascular surgery.
- Further research may clarify optimal medication strategies.
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