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

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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 languageEnglish
Pages (from-to)770-777
Number of pages8
JournalJournal of Endovascular Therapy
Volume22
Issue number5
DOIs
Publication statusPublished - 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

Cite this

Broos, P. P. H. L., Stokmans, R. A., Cuypers, P. W. M., van Sambeek, M. R. H. M., Teijink, J. A. W., & ENGAGE Investigators, T. (2015). Effects of Anesthesia Type on Perioperative Outcome After Endovascular Aneurysm Repair. Journal of Endovascular Therapy, 22(5), 770-777. https://doi.org/10.1177/1526602815601387