Key result
Ultrasound-guided regional anesthesia yields a VAS pain score of 0 during high-risk hybrid angioplasty.
Why the study?
Patients undergoing surgical revascularization of lower extremities often have progressive systemic atherosclerosis and high perioperative risk, challenging anesthetic management.
Case Report (n=1)
No
Regional anesthesia with ultrasound navigation is a viable and protective option for high-risk patients with generalized atherosclerosis undergoing hybrid angioplasty of the lower extremities.
Answers are grounded in this paper and cite their sources.
Supports feasibility of ultrasound-guided regional anesthesia in high-risk hybrid angioplasty; leaves open safety and efficacy in larger studies.
Many patients presenting for surgical revascularization of the lower extremities have progressive systemic atherosclerotic disease affecting not only the peripheral extremities, but also the coronary, cerebral, and renal vessels. Vascular patients are therefore considered high perioperative risk patients, making them a real challenge even for experienced anesthesiologists. This article analyzes a clinical case of hybrid angioplasty of lower extremity vessels in a patient with generalized atherosclerotic lesions under regional anesthesia with ultrasound navigation. Analysis of the clinical case and its analysis shows that regional anesthesia provides reliable protection against surgical stress with minimal impact on the body and should be used in patients with concomitant cardiac and pulmonary pathologies.
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Cherniy et al. (2024) conducted a case report in Generalized atherosclerosis, critical limb ischemia (n=1). Regional anesthesia with ultrasound navigation (Fascia iliaca and sciatic nerve blocks) was evaluated on Pain level during surgery (VAS). Regional anesthesia with ultrasound navigation provided complete sensory and motor blockade with a VAS pain score of 0 and stable hemodynamics during hybrid angioplasty in a high-risk patient.
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