Endovasküler aort tamirinde anestezi yaklaşımları: tek merkez deneyimi

Abstract

In recent years, endovascular aortic repair has been an alternative to open surgery due to its many advantages. The choice of anesthesia may be general, local or sedation depending on the preference of the anesthetist. In this study, we aimed to evaluate our anesthesia experience in endovascular aortic repair applications. Materials and Methods: Thirty-eight patients underwent endovascular surgery for aortic aneurysm and/or dissection repair between January 2015 and December 2016 were evaluated retrospectively. Demographic data, concominant diseases, length of stay hospital and intensive care unit, mortality and morbidity rates were examined. Results: The mean age of the patients was 65.51 (39-82) and female/male ratio was 2/33. All of the patients were smokers and 82.9% of them had at least one additional disease. Local anesthesia and sedation combination was more preferred than general anesthesia. The mean length of stay hospital and intensive care were 2 and 5 days. After the prosedure, acute renal failure developed in 4 cases and two of them died but the other two patients were discharged. In addition to crystalloid, colloid was used in two cases, erythrocyte suspension was used in six cases, and fresh frozen plasma was not used in any case. The mortality rate was found 5.7%, Type 3 dissection repair with general anesthesia was performed in two patients with mortality. Conclusion: Local anesthesia and sedation combination provides a comfortable and safe working environment as well as general anesthesia for endovascular aortic repair in angio laboratories.