[Management of anesthesia in endovascular interventions]

Area of Science:

• Cardiology
• Anesthesiology
• Vascular Surgery

Background:

• Cardiovascular diseases are a major cause of death in Germany.
• High-risk patients require multidisciplinary treatment including endovascular interventions.
• Varying vascular pathologies necessitate diverse procedural options and anesthesia strategies.

Purpose of the Study:

• To elucidate anesthesia management characteristics for endovascular interventions.
• To discuss the differentiated approach required for anesthesia in these procedures.
• To review the current evidence regarding anesthesia choices for cardiovascular patients.

Main Methods:

• Review of current literature on anesthesia for endovascular procedures.
• Analysis of anesthesia management in selected endovascular interventions.
• Consideration of guidelines and anticoagulant therapy in anesthesia decisions.

Main Results:

• Endovascular procedures can utilize general or regional anesthesia (RA).
• No current evidence shows RA superiority over general anesthesia for morbidity/mortality.
• RA may reduce pulmonary complications in some endovascular interventions.

Conclusions:

• Anesthesia management for endovascular interventions must be individualized.
• Regional anesthesia (epidural, spinal) requires careful risk-benefit assessment, especially with anticoagulation.
• Further research is needed to clarify optimal anesthesia strategies for cardiovascular patients undergoing endovascular procedures.