The Turkish Journal of Vascular Surgery

Yazarlar: Hakkı Tankut AKAY, Ali HARMAN, Erdal ASLIM, Bahadır GÜLTEKİN, Atilla SEZGİN, Fatih BOYVAT

Konular:-

Anahtar Kelimeler:Aorta,Abdominal; endovascular procedures

Özet: Objective: The aim of this study was to report and analyse the results of a our patients undergoing elective endovascular aneurysm repair (EVAR) under local anesthesia. Material and Methods: Between April 2004 and August 2012, a total of 137 consecutive patients (80 men, median age 76 years, range 61 to 88 years) underwent elective EVAR under LA. We compared mortality, mor- bidity, surgical and endovascular difficulties and endoleaks between the procedures performed un- der local and epidural anesthesia (EA). Results: LA was applied in 127 (97%), EA was performed in 7 (5.1%) and general anesthesia (GA) was performed in 3 patients (2.1%). Anesthetic conversion from LA to GA was necessary in 3 patients (2.1%). Four patients were morbid obese. Three patients were having re-operations. Anxiety and airway obstruction during the procedure was the causes for conversion to GA. Overall 30-day mortality rate was 0.79 %, with the one patient in LA group. The- re were 4 type I endoleaks in patients with in challenging aneurysm morphologies regardless, of the type of anesthesia. The number of type 2 endoleaks was 13 (9.4%). Paraplegia developed in one pa- tient in the EA group. Conclusion: LA is feasible and offers advantages regardless of being obese or not or having previous surgery in the inguinal region in vast majortiy of patients.

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