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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...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove Medical Press
2011
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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. |
format | Online Article Text |
id | pubmed-3417965 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2011 |
publisher | Dove Medical Press |
record_format | MEDLINE/PubMed |
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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