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Anesthetic Considerations in Combined TAVR and Aortic Endovascular Procedures, a Case Report
Mario Zaccarelli1, Tarek S Testa2, Giuseppe Buscaglia2
1Department of Surgical Sciences and Integrated Diagnostics, University of Genoa, Genova, Italy.
Abstract:
We report a case of simultaneous transcatheter aortic valve replacement and endovascular aneurysm repair. Our aim was to advocate the role of local and regional anesthesia as a key contributor in maintaining hemodynamic stability and avoiding abrupt blood pressure change. Endovascular combined procedures are gaining popularity for their numerous advantages. Nevertheless, they carry significant risks for their hemodynamic implications. It is imperative to acknowledge the modifications occurring after each correction and act accordingly. Different anesthesia approaches can dramatically influence hemodynamics; among all, we found local and regional anesthesia would better serve this objective.
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