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颈动脉内膜切除术、血管成形术和支架置入术的麻醉。

Anesthesia for Carotid Endarterectomy, Angioplasty, and Stent.

机构信息

Department of Anesthesiology, Weill Cornell Medicine, Weill Cornell Medical College, 525 East 68th Street, Box 124, New York, NY 10065, USA.

Department of Anesthesiology, Weill Cornell Medicine, Weill Cornell Medical College, 525 East 68th Street, Box 124, New York, NY 10065, USA.

出版信息

Anesthesiol Clin. 2021 Mar;39(1):37-51. doi: 10.1016/j.anclin.2020.11.006. Epub 2021 Jan 8.

Abstract

Anesthetic management of carotid artery disease requiring carotid endarterectomy or carotid stenting is complex and varies widely, but relies on excellent communication between the anesthesia and surgical team throughout the procedure to ensure appropriate cerebral perfusion. With a systematic approach to vascular access and hemodynamic and neurologic monitoring, anesthesia can be applied to maximize cerebral perfusion while minimizing the risk of postoperative hemorrhage or hyperperfusion.

摘要

颈动脉疾病患者行颈动脉内膜切除术或颈动脉支架置入术的麻醉管理较为复杂且差异较大,但需要麻醉团队和外科团队在整个手术过程中保持密切沟通,以确保脑灌注适当。通过采用系统的血管入路方法和血流动力学及神经监测方法,麻醉科医生可以应用各种方法以最大程度地增加脑灌注,同时将术后出血或过度灌注的风险降至最低。

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