Femoral artery endarterectomy
From WikiAnesthesia
Femoral artery endarterectomy
| Anesthesia type |
GA |
|---|---|
| Airway |
ETT |
| Lines and access |
PIV x1-2, radial a-line (to draw frequent ACTs and monitor BP) |
| Monitors |
Standard |
| Primary anesthetic considerations | |
| Preoperative | |
| Intraoperative |
Have lead available for frequent imaging. Have heparin available and small syringes for ACTs |
| Postoperative | |
| Article quality | |
| Editor rating | |
| User likes | 0 |
A femoral endarterectomy is a procedure with the goal of restoring patency to an occluded femoral artery and restoring vascular supply to the tissue. It involves a groin incision where the surgeon directly opens the femoral artery and removes the plaque, then closes the artery, at times with a synthetic patch.
Overview
Indications
Partial or total occlusion of the femoral artery from atherosclerosis and/or PAD.
Surgical procedure
Preoperative management
Patient evaluation
| System | Considerations |
|---|---|
| Airway | |
| Neurologic | |
| Cardiovascular | Most of these patients have significant PAD. Many of these patients have comorbid CAD, HTN |
| Pulmonary | |
| Gastrointestinal | |
| Hematologic | |
| Renal | |
| Endocrine | |
| Other |
Labs and studies
Operating room setup
Patient preparation and premedication
Regional and neuraxial techniques
Intraoperative management
Monitoring and access
Induction and airway management
Positioning
Maintenance and surgical considerations
Emergence
Postoperative management
Disposition
Pain management
Potential complications
Procedure variants
| Variant 1 | Variant 2 | |
|---|---|---|
| Unique considerations | ||
| Position | ||
| Surgical time | ||
| EBL | ||
| Postoperative disposition | ||
| Pain management | ||
| Potential complications |