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Management of patients undergoing vascular surgery concerns elderly patient, high incidence of coexisting disease as coronary artery disease, hypertension, and diabetes mellitus, acute changes in arterial pressure or metabolic stress associated with arterial ischemia or arterial cross-clamping. As a result, the ischemic insults to vital organs (heart, kidneys, and spinal cord) cause more frequent perioperative morbidity and mortality than other surgical procedures. Cardiovascular instability is more common and marked in patients with cardiovascular disease or those receiving vasoactive medications and undergoing cardiovascular surgical procedures.

Intraoperative Anesthetic Management for Vascular and Endovascular Abdominal Aortic Surgery