Endovasküler Aort Onarımında Anestezi Yönetimi

Abstract

Objective: Our study aimed to examine retrospectively the anesthesia techniques and their results applied to patients who underwent endovascular aortic repair due to aortic pathology. Methods: This retrospective and observational study included patients who underwent EVAR or TEVAR for abdominal and/or thoracic aortic aneurysm between 2015-2021. Patients’ demographic data, type of surgery and anesthesia, duration of surgery and anesthesia, amount of blood transfusion, lengths of stay in ICU and of hospital were recorded. Results: The data of 206 patients who underwent EVAR and TEVAR for abdominal and/or thoracic aortic aneurysm were obtained. TEVAR was applied to 63 patients and EVAR was applied to 143 patients. The procedure was performed under general anesthesia (GA) in all 63 patients who underwent TEVAR, while 15 patients who underwent EVAR were operated under GA and 128 patients under regional anesthesia (RA). The mean anesthesia and surgery times were found 136.1±72.0 min. and 112.2±71.3 min. in GA patients and it was 112.2±71.3 min. and 96.5±32.1 min. in RA patients. The mean length of ICU and hospital stays were determined as 1.6±2.1 days and 3.1±2.7 days in GA patients, and 1.2±0.6 days and 3.1±2.5 days in RA patients. Conclusion: GA or RA methods are preferred as anesthesia techniques in patients undergoing EVAR due to aortic aneurysm. Although RA has advantages compared to GA, such as shorting the lenght of hospital and ICU stays, reducing the blood product requirements, shorting both anesthesia and surgery times, patient characteristics should also be considered in the selection of anesthesia techniques.