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Updated: Apr 24, 2026

Use of a Percutaneous Ventricular Assist Device/Left Atrium to Femoral Artery Bypass System for Cardiogenic Shock
Published on: August 16, 2021
The awake axillofemoral bypass
Khalid Nasser Bin Ghali1, Raed Sami Altowairki1, Muzackir Abubaker Mohammed1
1Department of Anesthesiology, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
Thoracic epidural anesthesia combined with nerve blocks offers a safe alternative to general anesthesia for high-risk patients undergoing complex vascular surgery. This approach ensures hemodynamic stability and superior pain management, minimizing perioperative risks.
Area of Science:
- Vascular Surgery
- Anesthesiology
- Cardiovascular Medicine
Background:
- Aortoiliac occlusive disease is a severe peripheral arterial disease often necessitating complex vascular reconstruction.
- General anesthesia (GA) poses significant risks for patients with severe comorbidities.
- High-risk patients require alternative anesthetic techniques to minimize perioperative complications.
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