Anesthesiologist View on Endovascular Aortic Aneurysm Repair; A Single Center Retrospective Study

Year 2023, Volume: 18 Issue: 3, 62 - 68, 20.11.2023

Gamze Ertaş Hamiyet Şenol Çakmak Sevda Akdeniz Ebru Polat İlker Hasan Karal Serkan Tulgar

https://doi.org/10.17517/ksutfd.1162380

Abstract

Objective: Endovascular aortic repair (EVAR) and thoracic endovascular aortic repair (TEVAR), which are minimally invasive endovascular stent grafting methods, are applied as alternatives to traditional and invasive open surgery in the treatment of aortic aneurysms. The aim of this study was to evaluate the anesthesia methods applied in patients who underwent EVAR and TEVAR in our hospital.
Materials and Methods: The files of 95 patients who underwent endovascular aortic repair between 01.01.2015 and 31.05.2022 were reviewed retrospectively. Descriptive data on patients, as well as data such as the duration of surgery, intensive care and hospital stay were collected and evaluated.
Results: It was determined that endovascular aortic grafting was performed under general anesthesia (GA) (Group GA) in 14 patients and with sedo-analgesia (SA) (Group SA) in 67 patients. EVAR was administered to 75 patients and TEVAR to 6 patients. Eleven of the EVAR patients received GA and 64 received SA. The mean age of the patients was 68.73±8.31 years, and 75 of the patients were male. There was no significant difference between the groups with regards to comorbidities (p>0.05). When the length of stay in the intensive care unit was evaluated in terms of duration of hospitalization, there was no statistically significant difference between the groups (p>0.05).
Conclusion: In this study, GA and SA gave similar outcomes an in patients who underwent EVAR/TEVAR in our clinic, except for the intraoperative fluid requirements.

Keywords

General anesthesia, sedo-analgesia, endovascular aort repair

Endovasküler Aort Anevrizması Onarım Cerrahilerine Anestezist Bakışı; Tek Merkezli Retrospektif Bir Çalışma

Abstract

Amaç: Minimal invaziv endovasküler stent greftleme yöntemleri olan endovasküler aort onarımı (EVAR) ve torasik endovasküler aort onarımı (TEVAR), aort anevrizmalarının tedavisinde geleneksel ve invaziv açık cerrahiye alternatif olarak uygulanmaktadır. Bu çalışmanın amacı hastanemizde EVAR ve TEVAR uygulanan hastalarda uygulanan anestezi yöntemlerini değerlendirmektir.
Gereç ve Yöntemler: Çalışmamızda 01.01.2015-31.05.2022 tarihleri arasında endovasküler aort onarımı yapılan 95 hastanın dosyaları geriye dönük olarak incelendi. Hastalara ilişkin tanımlayıcı verilerin yanı sıra ameliyat süresi, yoğun bakım ve hastanede kalış süresi gibi veriler toplanarak değerlendirildi.
Bulgular: Endovasküler aortik greftlemenin 14 hastaya genel anestezi (GA) (Grup GA) altında, 67 hastaya sedo-analjezi (SA) (Grup SA) altında yapıldığı belirlendi. 75 hastaya EVAR, 6 hastaya TEVAR uygulandı. EVAR hastalarının 11'inin GA, 64'ünün SA ile tedavi edildiği görüldü. Hastaların yaş ortalaması 68.73±8.31 yıl olup, 75'i erkekti. Hasta komorbiditeleri göz önüne alındığında gruplar arasında anlamlı fark yoktu (p>0.05). Yoğun bakımda kalış süreleri hastanede kalış süreleri açısından değerlendirildiğinde gruplar arasında istatistiksel olarak anlamlı fark bulunmadı (p>0.05).
Sonuç: Bu çalışmada kliniğimizde EVAR/TEVAR uygulanan hastalarda intraoperatif sıvı gereksinimi dışında anestezi yönteminin üstünlüğünü belirleyemedik.

Keywords

Genel anestezi, sedo-analjezi, endovasküler aort tamiri

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