Endovascular stent-graft repair of descending thoracic aortic aneurysms: The nursing implications for care

摘要: Endovascular repair of descending thoracic aortic aneurysms is a minimally invasive procedure performed with the patient under epidural or spinal anesthesia as an alternative to conventional left thoracotomy repair. A Dacron graft, similar one used in repair, placed aorta fluoroscopic guidance via femoral iliac artery. Once graft place, aneurysm excluded from general circulation, thereby preventing rupture. currently being offered at selected sites patients who otherwise would not be candidates for surgical due severe comorbidities such cardiac, pulmonary, renal disease. As both technique and devices become perfected, endovascular stent-graft will most likely method treatment high- low-risk are anatomic procedure. This article describes aneurysms. It discusses implications nursing care preoperative postoperative settings defines guidelines long-term follow-up undergo (J Vasc Nurs 2002;20:86-93)