Local anaesthesia for endovascular repair of infrarenal aortic aneurysms

• Verfasst von: Geisbüsch, Philipp [VerfasserIn]
• Verfasst von: Katzen, Barry T. [VerfasserIn]
• Verfasst von: Machado, R. [VerfasserIn]
• Verfasst von: Benenati, J. F. [VerfasserIn]
• Verfasst von: Pena, C. [VerfasserIn]
• Verfasst von: Tsoukas, A. I. [VerfasserIn]
• Titel: Local anaesthesia for endovascular repair of infrarenal aortic aneurysms
• Verf.angabe: P. Geisbüsch, B.T. Katzen, R. Machado, J.F. Benenati, C. Pena, A.I. Tsoukas
• E-Jahr: 2011
• Jahr: 20 June 2011
• Umfang: 7 S.
• Fussnoten: Gesehen am 12.10.2023
• Titel Quelle: Enthalten in: European journal of vascular and endovascular surgery
• Ort Quelle: New York, NY : Elsevier, 1995
• Jahr Quelle: 2011
• Band/Heft Quelle: 42(2011), 4 vom: Okt., Seite 467-473
• ISSN Quelle: 1532-2165
• DOI: doi:10.1016/j.ejvs.2011.05.018
• Datenträger: Online-Ressource
• Sprache: eng
• Sach-SW: Anaesthesia
• Sach-SW: Aortic aneurysm
• Sach-SW: Endograft
• Sach-SW: EVAR
• Sach-SW: Local anaesthesia
• Sach-SW: Stent graft
• K10plus-PPN: 1862657416

Abstract

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.