Vascular Anesthesia

  • Joshua Hensley
  • Kathirvel Subramaniam


The seventeenth-century physician Thomas Sydenham said, “You are as old as your arteries.” Vascular surgery involves surgery on vessels throughout the body, from the aorta and great vessels to the arteries and veins extending into the extremities. Vascular patients often carry with them multiple comorbidities, and they are frequently involved in high-risk procedures that can pose specific challenges to the anesthesiologist. The anesthesiologist plays a critical role in the care of vascular patients, and it is important to understand the challenges and techniques needed for their proper care before, during, and after any surgical intervention.


Abdominal aortic aneurysm Aortic cross clamping Endovascular aortic repair Carotid endarterectomy Peripheral vascular disease 

Further Reading

  1. 1.
    Bode Jr RH, Lewis KP, Zarich SW, et al. Cardiac outcome after peripheral vascular surgery. Comparison of general and regional anesthesia. Anesthesiology. 1996;84(1):3–13.CrossRefPubMedGoogle Scholar
  2. 2.
    Carpenter JP, Baum RA, Barker CF, et al. Durability of benefits of endovascular versus conventional abdominal aortic aneurysm repair. J Vasc Surg. 2002;35:222.CrossRefPubMedGoogle Scholar
  3. 3.
    Gelman S. The pathophysiology of aortic clamping and unclamping. Anesthesiology. 1995;82:1026.CrossRefPubMedGoogle Scholar
  4. 4.
    Lippman M, Lingam K, Rubin S, et al. Anesthesia for endovascular repair. Br J Surg. 2001;88:1059.CrossRefGoogle Scholar
  5. 5.
    Lo A, Adams D. Ruptured abdominal aortic aneurysms: risk factors for mortality after emergency repair. N Z Med J. 2004;117:U1100.PubMedGoogle Scholar
  6. 6.
    Messner M, Albrecht S, Lang W, et al. The superficial cervical plexus block for postoperative pain therapy in carotid artery surgery. A prospective randomized controlled trial. Eur J Vasc Endovasc Surg. 2007;33:50.CrossRefPubMedGoogle Scholar
  7. 7.
    Robertazzi RR, Cunningham Jr JN. Monitoring of somatosensory evoked potentials: a primer on the intraoperative detection of spinal cord ischemia during aortic reconstructive surgery. Semin Thorac Cardiovasc Surg. 1998;10:11–7.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  1. 1.Department of AnesthesiologyUniversity of Pittsburgh Medical CenterPittsburghUSA
  2. 2.Department of AnesthesiologyUPMC Presbyterian HospitalPittsburghUSA

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