Peripheral neural blockade for pain control in patients undergoing percutaneous angioplasty for complex infrapopliteal disease [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2021; 49(4): 321-327 | DOI: 10.5543/tkda.2021.92422

Peripheral neural blockade for pain control in patients undergoing percutaneous angioplasty for complex infrapopliteal disease

Abdulrahman Naser, Khagani Isgandarov, İlker İtal, Tolga Sinan Güvenç, Müslüm Şahin
Department of Cardiology, Vm Medical Park Pendik Hospital, İstanbul, Turkey

In recent years, percutaneous transluminal angioplasty has become the preferred revascularization option for chronic limb-threatening ischemia (CLTI) and infrapopliteal (IP) arterial disease. CLTI and IP disease require complex and lengthy procedures that necessitate multiple balloon inflations and frequent contrast injections. It will lead to severe discomfort if periprocedural pain control is inadequate. Conventional methods such as local anesthesia and systemic opioids are usually inadequate to provide pain control for complex IP arterial disease interventions. Ultrasound-guided peripheral nerve blockade (PNB) has been recently employed in peripheral procedures, with several small studies reporting favorable results in patients who underwent not complex interventions. In the present series, we report our experience of 4 patients who underwent PNB to relieve pain during endovascular treatment of complex IP disease, and in whom we have observed excellent periprocedural pain control that led to satisfactory postprocedural outcomes.

Keywords: percutaneous transluminal angioplasty, peripheral artery disease, infrapopliteal, peripheral nerve block

How to cite this article
Abdulrahman Naser, Khagani Isgandarov, İlker İtal, Tolga Sinan Güvenç, Müslüm Şahin. Peripheral neural blockade for pain control in patients undergoing percutaneous angioplasty for complex infrapopliteal disease. Turk Kardiyol Dern Ars. 2021; 49(4): 321-327

Corresponding Author: Abdulrahman Naser, Türkiye
© Copyright 2021 Archives of the Turkish Society of Cardiology
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