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Local anaesthesia for endovascular repair of infrarenal aortic aneurysms

Objective - The study aimed to analyse and report the results of a ‘local anaesthesia first’ approach in elective endovascular aneurysm repair (EVAR) patients. - Material and methods - Between January 2007 and August 2010, a total of 217 continuous patients (187 men, median age 76 years, range 52-94...

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Main Authors: Geisbüsch, Philipp (Author) , Katzen, Barry T. (Author) , Machado, R. (Author) , Benenati, J. F. (Author) , Pena, C. (Author) , Tsoukas, A. I. (Author)
Format: Article (Journal)
Language:English
Published: 20 June 2011
In: European journal of vascular and endovascular surgery
Year: 2011, Volume: 42, Issue: 4, Pages: 467-473
ISSN:1532-2165
DOI:10.1016/j.ejvs.2011.05.018
Online Access:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1016/j.ejvs.2011.05.018
Verlag, lizenzpflichtig, Volltext: https://www.sciencedirect.com/science/article/pii/S1078588411003431
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Author Notes:P. Geisbüsch, B.T. Katzen, R. Machado, J.F. Benenati, C. Pena, A.I. Tsoukas
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Summary:Objective - The study aimed to analyse and report the results of a ‘local anaesthesia first’ approach in elective endovascular aneurysm repair (EVAR) patients. - Material and methods - Between January 2007 and August 2010, a total of 217 continuous patients (187 men, median age 76 years, range 52-94 years) underwent elective EVAR using this approach, with predefined exclusion criteria for local anaesthesia (LA). A retrospective analysis regarding technical feasibility, mortality, complication and endoleak rate was performed. The results are reported as an observational study. - Results - LA was applied in 183 patients (84%), regional anaesthesia (RA) in nine patients (4%) and general anaesthesia (GA) in 25 patients (12%). Anaesthetic conversion from LA to GA was necessary in 14 patients (7.6%). Airway obstruction (n = 4) and persistent coughing (n = 3) were the most common causes for conversion to GA. Thirty-day mortality in the LA group was 2.7%, with 16/183 patients (8.7%) experiencing postoperative complications. All type I endoleaks (n = 5, 2.7%) occurred in patients with LA and challenging aneurysm morphologies. - Conclusions - A ‘local anaesthesia first’ strategy can successfully be applied in 75% of patients undergoing EVAR. The use of LA can impact imaging quality and thus precise endograft placement, which should be considered in patients with challenging aneurysm morphologies.
Item Description:Gesehen am 12.10.2023
Physical Description:Online Resource
ISSN:1532-2165
DOI:10.1016/j.ejvs.2011.05.018

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