Perioperative Management of Endovascular Abdominal Aortic Aneurysm Repair: Update 2010

Smaka, Todd J.; Cobas, Miguel; Velázquez, Omaida C.; Lubarsky, David A.

doi:10.1053/j.jvca.2010.08.010

Cited by 6 publications

(4 citation statements)

References 75 publications

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“…Demografik veriler, eşlik eden hastalıklar, hastanede ve yoğun bakımda kalış süreleri, uygulanan anestezi tipi, cerrahi ve anestezi süreleri, mortalite oranları Tablo 1'de özetlenmiştir. [6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21] . Bu konuda yapılmış en kapsamlı çalışma olan EUROSTAR çalışmasında, EVAR girişimleri uygulanan rejyonel anestezi ile genel anesteziye kıyasla komplikasyon, yoğun bakım ihtiyacı ve hastanede kalış süresinde azalma olduğu belirtilmiştir 11 .…”

Section: Bulgularunclassified

Endovasküler aort tamirinde anestezi yaklaşımları: tek merkez deneyimi

Türktan

Göçen

2019

Cukurova Medical Journal

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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.

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Section: Bulgularunclassified

Endovasküler aort tamirinde anestezi yaklaşımları: tek merkez deneyimi

Türktan

Göçen

2019

Cukurova Medical Journal

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“…EVAR is shown to be associated with a significantly shorter length of hospital stay (Greenhalgh et al 2004) and lower mortality (Shiels et al 2013). Although EVAR does provide a lower perioperative risk, there are issues with higher incidence of leak (Smaka et al 2011).…”

Section: By S De Silvamentioning

confidence: 99%

High Risk Endovascular Aneurysm Repair: A Case Report

Silva

2017

Journal of Perioperative Practice

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“…There is some evidence suggesting that patients receiving LA or RA show fewer systemic complications (cardiac, renal and respiratory), lower hospital and intensive care unit (ICU) length of stay (LOS), as well as an improvement in 30-day mortality compared with those receiving GA (4,5,11,12). However, there is still controversy regarding recommended anaesthetic technique for EVAR procedures being the choice made according to the patient's comorbidities, anaesthesiologist's preference and surgical requirements (4, 5, 11-13).…”

Section: Introductionmentioning

confidence: 99%

Complications of Endovascular Aneurysm Repair: Mortality, Myocardial Infarction and Acute Kidney Injury

Reis¹,

Morgado²,

Valdoleiros³

et al. 2018

Turk J Anaesth Reanim

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Objective: Patients undergoing endovascular aneurysm repair (EVAR) have comorbidities that increase the risk of death, myocardial infarction (MI) and acute kidney injury (AKI). Our aim was to evaluate the incidence and predictors of mortality, MI and AKI after EVAR and to compare AKI incidence with Vascular Surgery Kidney Injury Predictive Score (VSKIPS). Methods: We conducted a retrospective study of EVAR procedures performed between March 2006 and November 2013. We defined mortality at 30 days, MI as an increase in troponin level to >0.034 ng mL -1 in the first 72 h and AKI as an increase in creatinine level to >0.3 mg dL -1 in the first 48 h after surgery. Risk factors were analysed using logistic regression calculating Hosmer-Lemeshow test and the area under the receiver operating curve (AUROC). Results: Ninety-eight patients were included in the study. The incidence of mortality, MI, and AKI was 2%, 5%, and 18%, respectively. AKI increased the risk of MI [odds ratio (OR) 24.4, p=0.006]. Preoperative serum urea level of >50 mg dL -1 (OR 4.97, p=0.038), general anaesthesia (OR 9.64, p=0.002) and surgery duration (OR 1.53, p=0.043) were considered independent predictors of AKI. The AUROC of the AKI model was 0.886 compared with 0.793 of VSKIPS. Conclusion: We found the incidence of mortality, MI and AKI consistent with that of previous studies. However, we may be underestimating the last two because of the short follow-up time. AKI was an independent predictor of MI. Preoperative serum urea level of >50 mg dL

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Perioperative Management of Endovascular Abdominal Aortic Aneurysm Repair: Update 2010

Cited by 6 publications

References 75 publications

Endovasküler aort tamirinde anestezi yaklaşımları: tek merkez deneyimi

Endovasküler aort tamirinde anestezi yaklaşımları: tek merkez deneyimi

High Risk Endovascular Aneurysm Repair: A Case Report

Complications of Endovascular Aneurysm Repair: Mortality, Myocardial Infarction and Acute Kidney Injury

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