Anesthetic Experience With Endovascular Aortic Aneurysm Repair

Abstract

Background: We endeavored to characterize the anesthesia experience with endovascular aneurysm repair (EVAR) at a large academic medical center in the United States. Methods: A retrospective review of electronic medical records was conducted for all patients undergoing elective EVAR from 2002 to 2007 in a large academic medical center. Results: A total of 522 cases met inclusion criteria, with 4% of cases using general anesthesia (GA), 92% regional anesthesia (RA), and 4% local anesthesia (LA). There was no statistically significant difference between the groups for duration of surgery or in-hospital mortality. In-hospital length of stay was longer for GA than LA or RA. Four cases were converted to open repair. Two mortalities occurred during the perioperative period (0.4% of cases). Conclusions: The vast majority of EVAR were successfully performed under RA, involved mild blood loss, involved infrequent need for conversion to GA, and resulted in brief in-hospital length of stay and low mortality rate.

Keywords

endovascular aortic aneurysm

Get full access to this article

View all access options for this article.

References

Parodi JC , Palmaz JC , Barone HD Transfemoral intraluminal graft implantation for abdominal aortic aneurysms . Ann Vasc Surg. 1991;5(6):491-499.

Lee WA , Carter JW , Upchurch G. , Seeger JM , Huber TS Perioperative outcomes after open and endovascular repair of intact abdominal aortic aneurysms in the United States during 2001. J Vasc Surg. 2004;39(3):491-496.

Kahn RA , Moskowitz DM , Manspeizer HE , et al. Endovascular aortic repair is associated with greater hemodynamic stability compared with open aortic reconstruction. J Cardiothorac Vasc Anesth. 1999;13(1):42-46.

Verhoeven EG , Cina CS , Tielliu IF , et al. Local anesthesia for endovascular abdominal aortic aneurysm repair. J Vasc Surg. 2005;42(3):402-409.

Walschot LH , Laheij RJ , Verbeek AL Outcome after endovascular abdominal aortic aneurysm repair: a meta-analysis . J Endovasc Ther. 2002;9(1):82-89.

Ruppert V. , Leurs LJ , Steckmeier B. , Buth J. , Umscheid T. Influence of anesthesia type on outcome after endovascular aortic aneurysm repair: an analysis based on EUROSTAR data. J Vasc Surg. 2006; 44(1):16-21.