Cic edizioni internazionali
Il Giornale di Chirurgia

The use of local anesthesia to perform lower limb revascularization in the fragile patient with critical limb ischemia

Original Article, 77 - 81
doi: 11138/gchir/2018.39.2.077
Tag this article
Abstract
Full text PDF
Patients with critical limb ischemia are usually compromised, frequently making administration of general or regional anesthesia problematic. We treated 3 fragile patients presenting contraindications to undertake traditional anesthetic techniques for lower limb revascularization, in whom local anesthesia with conscious sedation was used to complete the operation. An axillo-bifemoral, a unilateral axillo-femoral and a femoro-femoral bypass were performed. Procedure was uneventful in all three cases despite the coexistence of specific surgical challenges (distal anastomosis at the profunda in two cases, redo surgery and scarred groin in the third). Surgical revascularization under local anesthesia may be considered in selected high risk patients.

Vol. XXXIX (No. 4) 2018 July-August

  1. Colovesical fistula: review on conservative management, surgical techniques and minimally invasive approaches
    Cochetti G., Del Zingaro M., Boni A., Cocca D., Panciarola M., Tiezzi A., Gaudio G., Balzarini F., Ursi P., Mearini E.
    doi: 10.11138/gchir/2018.39.4.195
  2. A new modified Mayo technique: should the surgeons need a new open technique for hernia repair in their armamentarium?
    Toro A., Stella G., Gueli A., Mannino M., Teodoro M., Schembari E., Palermo F., Di Carlo I.
    doi: 10.11138/gchir/2018.39.4.195
  3. The effect of peritoneal dialysis with alkaline dialysate in peritonitis carcinomatosis: an experimental study in mice
    Zumrutdal E., Tolga Sahin T., Kulahci Ö., Bilecik T., Temiz Ö., Cetinkunar S., Turut N., Daglioglu K., Canbolat Y., Akbulut S.
    doi: 10.11138/gchir/2018.39.4.215
  4. Preliminary results about a novel technique of mesh positioning in the abdominal wall hernia repair
    Licari L., Salamone G., Campanella S., Sabatino C., Ciolino G, Parinisi Z., Carfì F., De Marco P., Gulotta G.
    doi: 10.11138/gchir/2018.39.4.223
  5. Peribulbar anesthesia in sclero-retinal surgery: two quadrants vs single injection
    Malagola R., Collini S., Trosi F., Giannotti R., Arrico L.
    doi: 10.11138/gchir/2018.39.4.227
  6. Early versus delayed approach in cholecystectomy after admission to an emergency department. A multicenter retrospective study
    Vaccari S., Lauro A., Cervellera M., Casella G., D'Andrea V., Di Matteo F.M., Santoro A., Panarese A., Gulotta E., Cirocchi R., Ussia A., Brighi M., Romano A., Tonini V.
    doi: 10.11138/gchir/2018.39.4.232
  7. Densitometric changes of the patella in patients undergoing unilateral knee arthroplasty
    Izzo S., Izzo L., Di Cello P., Sinaimeri G., De Santis A., Razionale F., Costi U., Gabriele R., Valabrega S., Pugliese F., Izzo P.
    doi: 10.11138/gchir/2018.39.4.239
  8. Surgical management of complex atypical endometrial hyperplasia in a woman with rare genitourinary anomalies: unicornuate uterus with rudimentary horn, ipsilateral ectopic ovary and pelvic kidney
    Grigoriadis C., Tympa A., Terzakis E., Theodoraki K., Hassiakos D.
    doi: 10.11138/gchir/2018.39.4.245
  9. Sporadic pedunculated duodenal adenomas. Clinical presentations and endoscopic management: a case series
    Bruno G., Trentino P., Viarengo M.A., Toma A., Virili C., Centanni M., Picarelli A., Gozzo P., Accarpio F., Porowska B.
    doi: 10.11138/gchir/2018.39.4.248
  10. Adenomyoepithelioma of the breast: case report and literature review
    Antonelli M.S., Mallel G., Pecoraro A., Vitale V., Maggi S., Lombardi A., Stanzani G., Amanti C.
    doi: 10.11138/gchir/2018.39.4.255
  11. Transrectal ultrasonography of perianal fistulas: a single center experience from a surgeon’s point of view
    Karanikas I., Koutserimpas C., Siaperas P., Skarpas A., Karoubalis J., Velimezis G.
    doi: 10.11138/gchir/2018.39.4.258
Last Viewed articles: la lista degli ultimi x visitati.
  1. The use of local anesthesia to perform lower limb revascularization in the fragile patient with critical limb ischemia
    Kontopodis N., Papaioannou A., Tavlas E., Papadopoulos G., Lioudaki S., Tzirakis K., Ioannou C.V.
    doi: 11138/gchir/2018.39.2.077
credits