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James May, G. White, Weiyun Yu, C. Ly, R. Waugh, M. Stephen, M. Arulchelvam, John Harris (1998)
Concurrent comparison of endoluminal versus open repair in the treatment of abdominal aortic aneurysms: analysis of 303 patients by life table method.Journal of vascular surgery, 27 2
S. Rivers, L. Scher, Evelyn Sheehan, F. Veith (1991)
Epidural versus general anesthesia for infrainguinal arterial reconstruction.Journal of vascular surgery, 14 6
P. Cao, S. Zannetti, G. Parlani, F. Verzini, Sandro Caporali, A. Spaccatini, F. Barzi (1999)
Epidural anesthesia reduces length of hospitalization after endoluminal abdominal aortic aneurysm repair.Journal of vascular surgery, 30 4
R. Garnett, A. MacIntyre, Patrice Lindsay, Barber Gg, Cole Cw, G. Hajjar, McPhail Nv, T. Ruddy, R. Stark, D. Boisvert (1996)
Perioperative ischaemia in aortic surgery: combined epidural/ general anaesthesia and epidural analgesia vs general anaesthesia andiv analgesiaCanadian Journal of Anesthesia/Journal canadien d'anesthésie, 43
Woo Park, Jon Thompson, Kelvin Lee (2001)
Effect of Epidural Anesthesia and Analgesia on Perioperative Outcome: A Randomized, Controlled Veterans Affairs Cooperative StudyAnnals of Surgery, 234
G. Cherr, M. Edwards, T. Craven, P. Levy, J. Ligush, R. Geary, G. Plonk, K. Hansen (2002)
Survival of young patients after abdominal aortic aneurysm repair.Journal of vascular surgery, 35 1
J. Buth, R. Laheij (2000)
Early complications and endoleaks after endovascular abdominal aortic aneurysm repair: report of a multicenter study.Journal of vascular surgery, 31 1 Pt 1
Rodney White, C. Donayre, I. Walot, M. Lippmann, J. Woody, James Lee, N. Kim, G. Kopchok, T. Fogarty (2001)
Endovascular exclusion of descending thoracic aortic aneurysms and chronic dissections: Initial clinical results with the AneuRx device.Journal of vascular surgery, 33 5
J. Parodi, J. Palmaz, H. Barone (1991)
Transfemoral intraluminal graft implantation for abdominal aortic aneurysmsAnnals of Vascular Surgery, 5
Bois (1997)
Epidural analgesia and intravenous patient-controlled analgesia result in similar rates of postoperative myocardial ischemia after aortic surgeryAnesth Analg, 85
J. May, G. White, R. Waugh, M. Stephen, X. Chaufour, Weiyun Yu, John Harris (1999)
Adverse events after endoluminal repair of abdominal aortic aneurysms: a comparison during two successive periods of time.Journal of vascular surgery, 29 1
N. Hertzer, E. Mascha, M. Karafa, P. O'hara, L. Krajewski, E. Beven (2002)
Open infrarenal abdominal aortic aneurysm repair: the Cleveland Clinic experience from 1989 to 1998.Journal of vascular surgery, 35 6
F. Dexter (1998)
Regional Anesthesia Does Not Significantly Change Surgical Time Versus General Anesthesia—A Meta‐Analysis of Randomized StudiesRegional Anesthesia and Pain Medicine, 23
C. Her, G. Kizelshteyn, Valerie Walker, Deborah Hayes, D. Lees (1990)
Combined epidural and general anesthesia for abdominal aortic surgery.Journal of cardiothoracic anesthesia, 4 5
R. Kahn, D. Moskowitz, M. Marin, L. Hollier (2002)
Anesthetic considerations for endovascular aortic repair.The Mount Sinai journal of medicine, New York, 69 1-2
S. Bois, P. Couture, D. Boudreault, P. Lacombe, F. Fugère, D. Girard, N. Nadeau (1998)
Epidural analgesia and intravenous patient-controlled analgesia result in similar rates of myocardial ischemia after aortic surgery.Anesthesia & Analgesia, 87
J. Henretta, K. Hodgson, M. Mattos, L. Karch, S. Hurlbert, Y. Sternbach, D. Ramsey, D. Sumner (1999)
Feasibility of endovascular repair of abdominal aortic aneurysms with local anesthesia with intravenous sedation.Journal of vascular surgery, 29 5
Thomas Hölzenbein, Georg Kretschmer, Siegfried Thurnher, M. Schoder, E. Aslım, Johannes Lammer, P. Polterauer (2001)
Midterm durability of abdominal aortic aneurysm endograft repair: a word of caution.Journal of vascular surgery, 33 2 Suppl
M. Davies, B. Silbert, Mooney Pj, R. Dysart, Meads Ac (1993)
Combined Epidural and General Anaesthesia versus General Anaesthesia for Abdominal Aortic Surgery: A Prospective Randomised TrialAnaesthesia and Intensive Care, 21
R. Bode, K. Lewis, S. Zarich, E. Pierce, M. Roberts, G. Kowalchuk, P. Satwicz, G. Gibbons, J. Hunter, Cynthia Espanola, R. Nesto (1996)
Cardiac Outcome after Peripheral Vascular Surgery: Comparison of General and Regional AnesthesiaAnesthesiology, 84
D. Bettex, M. Lachat, T. Pfammatter, D. Schmidlin, M. Turina, E. Schmid (2001)
To compare general, epidural and local anaesthesia for endovascular aneurysm repair (EVAR).European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery, 21 2
D. Mathes, John Kern (2000)
Continuous spinal anesthetic technique for endovascular aortic stent graft surgery.Journal of clinical anesthesia, 12 6
S. Curley, F. Izzo, P. Delrio, L. Ellis, J. Granchi, P. Vallone, F. Fiore, S. Pignata, B. Daniele, F. Cremona (1999)
Radiofrequency Ablation of Unresectable Primary and Metastatic Hepatic Malignancies: Results in 123 PatientsAnnals of Surgery, 230
C. Major, M. Greer, W. Russell, S. Roe (1996)
Postoperative pulmonary complications and morbidity after abdominal aneurysmectomy: a comparison of postoperative epidural versus parenteral opioid analgesia.The American surgeon, 62 1
R. Christopherson, C. Beattie, S. Frank, E. Norris, C. Meinert, S. Gottlieb, H. Yates, P. Rock, S. Parker, B. Perler, G Willams (1993)
Perioperative Morbidity in Patients Randomized to Epidural or General Anesthesia for Lower Extremity Vascular SurgeryAnesthesiology, 79
M. Lachat, T. Pfammatter, H. Witzke, D. Bettex, A. Künzli, U. Wolfensberger, M. Turina (2002)
Endovascular repair with bifurcated stent-grafts under local anaesthesia to improve outcome of ruptured aortoiliac aneurysms.European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery, 23 6
E. Norris, C. Beattie, B. Perler, Elizabeth Martinez, C. Meinert, G. Anderson, J. Grass, N. Sakima, R. Gorman, S. Achuff, B. Martin, S. Minken, G. Williams, R. Traystman (2001)
Double-masked Randomized Trial Comparing Alternate Combinations of Intraoperative Anesthesia and Postoperative Analgesia in Abdominal Aortic SurgeryAnesthesiology, 95
P. Cuypers, André Nevelsteen, Jacob Buth, J. Hamming, Luc Stockx, Hendrik Lacroix, A. Tielbeek (1999)
Complications in the endovascular repair of abdominal aortic aneurysms: a risk factor analysis.European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery, 18 3
C. Zarins, Rodney White, D. Schwarten, E. Kinney, E. Diethrich, K. Hodgson, T. Fogarty (1999)
AneuRx stent graft versus open surgical repair of abdominal aortic aneurysms: multicenter prospective clinical trial.Journal of vascular surgery, 29 2
Wesley Moore, V. Kashyap, C. Vescera, W. Quiñones-Baldrich (1999)
Abdominal aortic aneurysm: a 6-year comparison of endovascular versus transabdominal repair.Annals of surgery, 230 3
R. Garnett, A. MacIntyre, Patrice Lindsay, Barber Gg, Cole Cw, G. Hajjar, McPhail Nv, T. Ruddy, R. Stark, D. Boisvert (1997)
Perioperative Ischemia in Aortic Surgery: Combined Epidural/General Anesthesia and Epidural vs. General Anesthesia and IV AnalgesiaSurvey of Anesthesiology, 61
T. Chuter, L. Reilly, R. Faruqi, Robert Kerlan, R. Sawhney, C. Canto, J. Laberge, M. Wilson, R. Gordon, S. Wall, J. Rapp, L. Messina (2000)
Endovascular aneurysm repair in high-risk patients.Journal of vascular surgery, 31 1 Pt 1
Anesthetic techniques vary widely in the endovascular repair of abdominal aortic aneurysms (EVAR). Previous studies have demonstrated the feasibility of using local anesthesia. However, the ideal anesthetic technique has not been determined. This study examines whether anesthesic technique influences the outcomes of EVAR. Data regarding demographics, risk factors, procedural characteristics, recovery characteristics, treatment complications, acute (<30 day) medical complications, mortality, and anesthetic type were prospectively collected during the AneuRx phase II aortic endograft trial. Patient cohorts receiving general, regional, or local anesthesia were compared. From 1997 to 1998, 424 patients underwent EVAR at 13 sites using the AneuRx Bifurcated endograft. There were 279 patients in the general anesthesia group, 95 patients in the regional group, and 50 patients in the local group. Risk factors were similar. There were no significant differences in age, gender, American Society of Anesthesiologists grade, length of anesthesia, branch artery occlusions, proximal endoleaks, failed implants, or open surgical conversions. Cardiac, renal, and wound-healing complications were all lower in the local group. Mortality was equivalent among the three groups. (p > 0.05, ANOVA). From these results we concluded that EVAR with local anesthesia is a safe and efficacious method that may reduce recovery times and postoperative medical morbidity compared to use of genera1 or spinal/epidural anesthesia.
Annals of Vascular Surgery – Springer Journals
Published: Jan 11, 2005
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