Vascular and Endovascular Surgery · 2010 · 22 citations · 5 references
MedicineAnesthesiologySurgeryAnesthesiaRegional AnesthesiologyVascular SurgeryAnesthesia ComplicationsAnesthesia-related OutcomesAneurysm RepairAneurysm SurgeryAneurysm Surgery AnesthesiaRegional Anesthesia For Vascular SurgeryElective Aneurysm RepairElective Aortic Aneurysm RepairElectronic Medical RecordsEndovascular Aneurysm Repair AnesthesiaEndovascular Aortic Aneurysm RepairEndovascular Vascular RepairIn-hospital MortalityPerioperative Management Of Aneurysms
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.
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Local anesthesia for endovascular abdominal aortic aneurysm repair
Eric L.G. Verhoeven, Claudio S. Cinà, Ignace F.J. Tielliu et al. · Journal of Vascular Surgery · 2005 · 114 citations · Full text
Medicine, Anesthesiology, Surgery +14