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Regional block anesthesia in a patient with factor V Leiden mutation and axillary artery occlusion

Anesthetic management of patients with coagulation disorders presents safety and technical challenges. This case describes a 58-year-old woman with factor V Leiden mutation who required distal saphenous vein harvest and axillo-brachial bypass to treat axillary artery occlusion. The patient underwent...

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Autores principales: Erkalp, Kerem, Comlekci, Mevlut, Inan, Bekir, Basaranoglu, Gokcen, Ozdemir, Haluk, Saidoglu, Leyla
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3417965/
https://www.ncbi.nlm.nih.gov/pubmed/22915885
http://dx.doi.org/10.2147/LRA.S14483
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author Erkalp, Kerem
Comlekci, Mevlut
Inan, Bekir
Basaranoglu, Gokcen
Ozdemir, Haluk
Saidoglu, Leyla
author_facet Erkalp, Kerem
Comlekci, Mevlut
Inan, Bekir
Basaranoglu, Gokcen
Ozdemir, Haluk
Saidoglu, Leyla
author_sort Erkalp, Kerem
collection PubMed
description Anesthetic management of patients with coagulation disorders presents safety and technical challenges. This case describes a 58-year-old woman with factor V Leiden mutation who required distal saphenous vein harvest and axillo-brachial bypass to treat axillary artery occlusion. The patient underwent surgery with satisfactory anesthesia using infraclavicular brachial plexus block, thoracic paravertebral block, and unilateral subarachnoid block. These three regional anesthetic interventions were performed in lieu of general anesthesia to minimize risks of thrombotic events, pain, and to decrease recovery time. Despite higher failure rates of regional anesthesia, longer time required for procedures, and added discomforts during surgery, the benefits may outweigh risks for selected high-risk patients, including those with factor V Leiden mutations.
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spelling pubmed-34179652012-08-22 Regional block anesthesia in a patient with factor V Leiden mutation and axillary artery occlusion Erkalp, Kerem Comlekci, Mevlut Inan, Bekir Basaranoglu, Gokcen Ozdemir, Haluk Saidoglu, Leyla Local Reg Anesth Case Report Anesthetic management of patients with coagulation disorders presents safety and technical challenges. This case describes a 58-year-old woman with factor V Leiden mutation who required distal saphenous vein harvest and axillo-brachial bypass to treat axillary artery occlusion. The patient underwent surgery with satisfactory anesthesia using infraclavicular brachial plexus block, thoracic paravertebral block, and unilateral subarachnoid block. These three regional anesthetic interventions were performed in lieu of general anesthesia to minimize risks of thrombotic events, pain, and to decrease recovery time. Despite higher failure rates of regional anesthesia, longer time required for procedures, and added discomforts during surgery, the benefits may outweigh risks for selected high-risk patients, including those with factor V Leiden mutations. Dove Medical Press 2011-02-15 /pmc/articles/PMC3417965/ /pubmed/22915885 http://dx.doi.org/10.2147/LRA.S14483 Text en © 2011 Erkalp et al, publisher and licensee Dove Medical Press Ltd. This is an Open Access article which permits unrestricted noncommercial use, provided the original work is properly cited.
spellingShingle Case Report
Erkalp, Kerem
Comlekci, Mevlut
Inan, Bekir
Basaranoglu, Gokcen
Ozdemir, Haluk
Saidoglu, Leyla
Regional block anesthesia in a patient with factor V Leiden mutation and axillary artery occlusion
title Regional block anesthesia in a patient with factor V Leiden mutation and axillary artery occlusion
title_full Regional block anesthesia in a patient with factor V Leiden mutation and axillary artery occlusion
title_fullStr Regional block anesthesia in a patient with factor V Leiden mutation and axillary artery occlusion
title_full_unstemmed Regional block anesthesia in a patient with factor V Leiden mutation and axillary artery occlusion
title_short Regional block anesthesia in a patient with factor V Leiden mutation and axillary artery occlusion
title_sort regional block anesthesia in a patient with factor v leiden mutation and axillary artery occlusion
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3417965/
https://www.ncbi.nlm.nih.gov/pubmed/22915885
http://dx.doi.org/10.2147/LRA.S14483
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