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Anesthesia Technique and Outcomes of Endovascular Aneurysm Repair

  • Developments in Endovascular and Endoscopic Surgery
  • Published:
Annals of Vascular Surgery

Abstract

Anesthetic techniques vary widely in the endovascular repair of abdominal aortic aneurysms (EVAR). Previous studies have demonstrated the feasibility of using local anesthesia. However, the ideal anesthetic technique has not been determined. This study examines whether anesthesic technique influences the outcomes of EVAR. Data regarding demographics, risk factors, procedural characteristics, recovery characteristics, treatment complications, acute (<30 day) medical complications, mortality, and anesthetic type were prospectively collected during the AneuRx phase II aortic endograft trial. Patient cohorts receiving general, regional, or local anesthesia were compared. From 1997 to 1998, 424 patients underwent EVAR at 13 sites using the AneuRx Bifurcated endograft. There were 279 patients in the general anesthesia group, 95 patients in the regional group, and 50 patients in the local group. Risk factors were similar. There were no significant differences in age, gender, American Society of Anesthesiologists grade, length of anesthesia, branch artery occlusions, proximal endoleaks, failed implants, or open surgical conversions. Cardiac, renal, and wound-healing complications were all lower in the local group. Mortality was equivalent among the three groups. (p > 0.05, ANOVA). From these results we concluded that EVAR with local anesthesia is a safe and efficacious method that may reduce recovery times and postoperative medical morbidity compared to use of genera1 or spinal/epidural anesthesia.

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Authors and Affiliations

  1. Division of Vascular Surgery, Johns Hopkins University, Baltimore, MD, USA

    Jose R. Parra M.D.

  2. Medtronic AVE, Santa Rosa, CA, USA

    Tami Crabtree M.S.

  3. Section of Peripheral Vascular Surgery, Southern Illinois University, Springfield, IL, USA

    Robert B. McLafferty M.D., Juan Ayerdi M.D., Laura A. Gruneiro M.D., Don E. Ramsey M.D. & Kim J. Hodgson M.D.

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  1. Jose R. Parra M.D.
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  2. Tami Crabtree M.S.
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  3. Robert B. McLafferty M.D.
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  4. Juan Ayerdi M.D.
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  5. Laura A. Gruneiro M.D.
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  6. Don E. Ramsey M.D.
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  7. Kim J. Hodgson M.D.
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Correspondence to Jose R. Parra M.D..

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Parra, J.R., Crabtree, T., McLafferty, R.B. et al. Anesthesia Technique and Outcomes of Endovascular Aneurysm Repair. Ann Vasc Surg 19, 123–129 (2005). https://doi.org/10.1007/s10016-004-0138-y

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  • DOI: https://doi.org/10.1007/s10016-004-0138-y

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