Effects of Anesthesia Type on Perioperative Outcome After Endovascular Aneurysm Repair

P.P.H.L. Broos; R.A. Stokmans; P.W.M. Cuypers; M.R.H.M. van Sambeek; J.A.W. Teijink; the ENGAGE Investigators

doi:10.1177/1526602815601387

Effects of Anesthesia Type on Perioperative Outcome After Endovascular Aneurysm Repair

P.P.H.L. Broos, R.A. Stokmans, P.W.M. Cuypers, M.R.H.M. van Sambeek, J.A.W. Teijink^*, the ENGAGE Investigators

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

Purpose: To examine outcomes of endovascular aortic aneurysm repair (EVAR) using general, regional, or local anesthesia. Methods: From March 2009 to April 2011, patients were enrolled from 79 sites in 30 countries worldwide and treated with an Endurant Stent Graft System. Data were compared among 3 groups based on the method of anesthesia: general anesthesia (GA) was used in 785 (62%) patients, regional anesthesia (RA) in 331 (27%) patients, and local anesthesia (LA) in 145 (11%) patients. Multivariate logistic regression analysis was performed to adjust for possible confounding factors; outcomes are presented as the odds ratio and 95% confidence interval. Results: There were intercontinental differences in the distribution of type of anesthesia used for EVAR. Higher ASA (American Society of Anesthesiologists) classification was associated with predominant use of GA. Procedure time was reduced in LA (80.4 +/- 40.0 minutes) compared with RA (94.2 +/- 41.6 min, adjusted p=0.001) and GA (105.3 +/- 46.0 minutes, adjusted p

Original language	English
Pages (from-to)	770-777
Number of pages	8
Journal	Journal of Endovascular Therapy
Volume	22
Issue number	5
DOIs	https://doi.org/10.1177/1526602815601387
Publication status	Published - Oct 2015

Keywords

abdominal aortic aneurysm
endovascular aneurysm repair
anesthesia
outcome analysis
local anesthesia
ABDOMINAL-AORTIC-ANEURYSM
ENDURANT STENT GRAFT
LOCAL-ANESTHESIA
LOCOREGIONAL ANESTHESIA
PRACTICE GUIDELINES
VASCULAR-SURGERY
RANDOMIZED-TRIAL
EUROSTAR DATA
MORTALITY
ANATOMY

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10.1177/1526602815601387

Cite this

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title = "Effects of Anesthesia Type on Perioperative Outcome After Endovascular Aneurysm Repair",

abstract = "Purpose: To examine outcomes of endovascular aortic aneurysm repair (EVAR) using general, regional, or local anesthesia. Methods: From March 2009 to April 2011, patients were enrolled from 79 sites in 30 countries worldwide and treated with an Endurant Stent Graft System. Data were compared among 3 groups based on the method of anesthesia: general anesthesia (GA) was used in 785 (62%) patients, regional anesthesia (RA) in 331 (27%) patients, and local anesthesia (LA) in 145 (11%) patients. Multivariate logistic regression analysis was performed to adjust for possible confounding factors; outcomes are presented as the odds ratio and 95% confidence interval. Results: There were intercontinental differences in the distribution of type of anesthesia used for EVAR. Higher ASA (American Society of Anesthesiologists) classification was associated with predominant use of GA. Procedure time was reduced in LA (80.4 +/- 40.0 minutes) compared with RA (94.2 +/- 41.6 min, adjusted p=0.001) and GA (105.3 +/- 46.0 minutes, adjusted p",

keywords = "abdominal aortic aneurysm, endovascular aneurysm repair, anesthesia, outcome analysis, local anesthesia, ABDOMINAL-AORTIC-ANEURYSM, ENDURANT STENT GRAFT, LOCAL-ANESTHESIA, LOCOREGIONAL ANESTHESIA, PRACTICE GUIDELINES, VASCULAR-SURGERY, RANDOMIZED-TRIAL, EUROSTAR DATA, MORTALITY, ANATOMY",

author = "P.P.H.L. Broos and R.A. Stokmans and P.W.M. Cuypers and {van Sambeek}, M.R.H.M. and J.A.W. Teijink and {ENGAGE Investigators}, the",

year = "2015",

month = oct,

doi = "10.1177/1526602815601387",

language = "English",

volume = "22",

pages = "770--777",

journal = "Journal of Endovascular Therapy",

issn = "1526-6028",

publisher = "SAGE Publications Inc.",

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T1 - Effects of Anesthesia Type on Perioperative Outcome After Endovascular Aneurysm Repair

AU - Broos, P.P.H.L.

AU - Stokmans, R.A.

AU - Cuypers, P.W.M.

AU - van Sambeek, M.R.H.M.

AU - Teijink, J.A.W.

AU - ENGAGE Investigators, the

PY - 2015/10

Y1 - 2015/10

N2 - Purpose: To examine outcomes of endovascular aortic aneurysm repair (EVAR) using general, regional, or local anesthesia. Methods: From March 2009 to April 2011, patients were enrolled from 79 sites in 30 countries worldwide and treated with an Endurant Stent Graft System. Data were compared among 3 groups based on the method of anesthesia: general anesthesia (GA) was used in 785 (62%) patients, regional anesthesia (RA) in 331 (27%) patients, and local anesthesia (LA) in 145 (11%) patients. Multivariate logistic regression analysis was performed to adjust for possible confounding factors; outcomes are presented as the odds ratio and 95% confidence interval. Results: There were intercontinental differences in the distribution of type of anesthesia used for EVAR. Higher ASA (American Society of Anesthesiologists) classification was associated with predominant use of GA. Procedure time was reduced in LA (80.4 +/- 40.0 minutes) compared with RA (94.2 +/- 41.6 min, adjusted p=0.001) and GA (105.3 +/- 46.0 minutes, adjusted p

AB - Purpose: To examine outcomes of endovascular aortic aneurysm repair (EVAR) using general, regional, or local anesthesia. Methods: From March 2009 to April 2011, patients were enrolled from 79 sites in 30 countries worldwide and treated with an Endurant Stent Graft System. Data were compared among 3 groups based on the method of anesthesia: general anesthesia (GA) was used in 785 (62%) patients, regional anesthesia (RA) in 331 (27%) patients, and local anesthesia (LA) in 145 (11%) patients. Multivariate logistic regression analysis was performed to adjust for possible confounding factors; outcomes are presented as the odds ratio and 95% confidence interval. Results: There were intercontinental differences in the distribution of type of anesthesia used for EVAR. Higher ASA (American Society of Anesthesiologists) classification was associated with predominant use of GA. Procedure time was reduced in LA (80.4 +/- 40.0 minutes) compared with RA (94.2 +/- 41.6 min, adjusted p=0.001) and GA (105.3 +/- 46.0 minutes, adjusted p

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KW - RANDOMIZED-TRIAL

KW - EUROSTAR DATA

KW - MORTALITY

KW - ANATOMY

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DO - 10.1177/1526602815601387

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