Infrainguinal Bypass Under Triple Nerve Block in Patients with Severely Compromised Left Ventricular Ejection Fraction and Chronic Limb-threatening Ischemia

Overview

Journal J Vasc Surg Cases Innov Tech

Date 2021 Jul 19

PMID 34278082

Authors

Muzafar Mamatkulov

Nikolai Naumov

Pavel Kurianov

Alexey Yaroslavsky

Alexey Sergeev

Anastasia Voronova

Affiliations

Soon will be listed here.

Abstract

A severely compromised left ventricular ejection fraction (LVEF) is a major limitation for lower extremity bypass reconstruction both under general anesthesia or neuraxial anesthesia (NA). A series of eight infrainguinal bypass procedures were performed under peripheral nerve block in five patients (three males and two females; median age, 67 years) with chronic limb-threatening ischemia and a preoperative LVEF of 35% or less (median, 27%; range, 20%-35%). There were no conversions to neuraxial anesthesia/general anesthesia or early postoperative complications. This study showed that open infrainguinal reconstructions can be performed safely under peripheral nerve blockade in this vulnerable category of patients.

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