Anesthesiologist View on Endovascular Aortic Aneurysm Repair; A Single Center Retrospective Study

Authors : Gamze Ertaş, Hamiyet Şenol Çakmak, Sevda Akdeniz, Ebru Polat, Ilker Hasan Karal, Serkan Tulgar

Pages : 62-68

Doi:10.17517/ksutfd.1162380

View : 80 | Download : 103

Publication Date : 2023-11-20

Article Type : Research Paper

Abstract :Objective: Endovascular aortic repair (EVAR) and thoracic endovascular aortic repair (TEVAR), which are minimally invasive endovascular stent grafting methods, are applied as alternatives to traditional and invasive open surgery in the treatment of aortic aneurysms. The aim of this study was to evaluate the anesthesia methods applied in patients who underwent EVAR and TEVAR in our hospital. Materials and Methods: The files of 95 patients who underwent endovascular aortic repair between 01.01.2015 and 31.05.2022 were reviewed retrospectively. Descriptive data on patients, as well as data such as the duration of surgery, intensive care and hospital stay were collected and evaluated. Results: It was determined that endovascular aortic grafting was performed under general anesthesia (GA) (Group GA) in 14 patients and with sedo-analgesia (SA) (Group SA) in 67 patients. EVAR was administered to 75 patients and TEVAR to 6 patients. Eleven of the EVAR patients received GA and 64 received SA. The mean age of the patients was 68.73±8.31 years, and 75 of the patients were male. There was no significant difference between the groups with regards to comorbidities (p>0.05). When the length of stay in the intensive care unit was evaluated in terms of duration of hospitalization, there was no statistically significant difference between the groups (p>0.05). Conclusion: In this study, GA and SA gave similar outcomes an in patients who underwent EVAR/TEVAR in our clinic, except for the intraoperative fluid requirements.
Keywords : Genel anestezi, sedo analjezi, endovasküler aort tamiri