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...
Gespeichert in:
| Hauptverfasser: | , , , , , |
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| Dokumenttyp: | Article (Journal) |
| Sprache: | Englisch |
| Veröffentlicht: |
20 June 2011
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| In: |
European journal of vascular and endovascular surgery
Year: 2011, Jahrgang: 42, Heft: 4, Pages: 467-473 |
| ISSN: | 1532-2165 |
| DOI: | 10.1016/j.ejvs.2011.05.018 |
| Online-Zugang: | 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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| Verfasserangaben: | P. Geisbüsch, B.T. Katzen, R. Machado, J.F. Benenati, C. Pena, A.I. Tsoukas |
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| 520 | |a 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. | ||
| 650 | 4 | |a Anaesthesia | |
| 650 | 4 | |a Aortic aneurysm | |
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| 700 | 1 | |a Pena, C. |e VerfasserIn |4 aut | |
| 700 | 1 | |a Tsoukas, A. I. |e VerfasserIn |4 aut | |
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