%0 Journal Article
%T Anesthesia Approach in Endovascular Aortic Reconstruction
%A Funda G¨¹m¨¹£¿
%A Adil Polat
%A Bora Farsak
%A Ay£¿in Alag£¿l
%J Ko£¿uyolu Kalp Dergisi
%D 2013
%I Bilimsel Tip Yayinevi
%R 10.5578/kkd.4139
%X Introduction: We have analyzed our initial results of our anesthesia techniques in our new-onset endovascular aortic reconstruction cases.Patients and Methods: The perioperative data of 15 elective and emergent endovascular aortic reconstruction cases that were operated in 2010-2011 were collected in a database. The choice of anesthesia was made by the risk factors, surgical team¡¯s preferences, type and location of the aortic pathology and by the predicted operation duration. The data of local and general anesthesia cases were compared.Results: Thirteen (86.7%) cases were male and 2 (13.3%) female. Eleven patients were in ASA Class III. The demographic parameters, ASA classifications, concurrent diseases were similar in both groups. Thirteen (86.7%) cases had infrarenal abdominal aortic aneurysm and 2 (13.3%) had Type III aortic dissection. The diastolic arterial pressures were lower in general anesthesia group in 20th and 40th minutes¡¯ measurements just like the mean arterial pressure measurements at the 40th, 100th minutes and during the deployment of the graft. Postoperative mortality occurred in 3 (20.0%) patients and they all had general anesthesia and they were operated on emergency basis. Postoperative morbidity occurred in four patients that had general anesthesia (acute renal failure, multi-organ failure and pneumonia). The other patient had atrial fibrillation on the 1st postoperative day and was converted to sinus rhythm with amiodarone infusion.Conclusion: Edovascular aortic reconstruction procedures can safely be performed with both general and local anesthesia less invasively compared to open surgery. General anesthesia may be preferred for the better hemodynamic control.
%K Aortic aneurysm
%K endovascular procedures
%K anesthesia.
%U http://www.kosuyolukalpdergisi.com/managete/fu_folder/2013-1/2013-16-01-025-031.pdf