1. Effects of Anesthesia Type on Perioperative Outcome After Endovascular Aneurysm Repair
- Author
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Broos, P.P.H.L., Stokmans, R.A., Cuypers, P.W.M., van Sambeek, M.R.H.M., Teijink, J.A.W., ENGAGE Investigators, the, Epidemiologie, RS: CAPHRI School for Public Health and Primary Care, and RS: CAPHRI - R5 - Optimising Patient Care
- Subjects
Male ,Time Factors ,medicine.medical_treatment ,Endovascular aneurysm repair ,endovascular aneurysm repair ,Postoperative Complications ,Anesthesia, Conduction ,Risk Factors ,outcome analysis ,Odds Ratio ,Local anesthesia ,Prospective Studies ,Registries ,Aged, 80 and over ,LOCOREGIONAL ANESTHESIA ,Endovascular Procedures ,Abdominal aortic aneurysm ,ANATOMY ,Intensive Care Units ,Treatment Outcome ,PRACTICE GUIDELINES ,Anesthesia ,Female ,Stents ,Cardiology and Cardiovascular Medicine ,medicine.medical_specialty ,ENDURANT STENT GRAFT ,Operative Time ,VASCULAR-SURGERY ,anesthesia ,Anesthesia, General ,EUROSTAR DATA ,Prosthesis Design ,ABDOMINAL-AORTIC-ANEURYSM ,Blood Vessel Prosthesis Implantation ,abdominal aortic aneurysm ,Blood vessel prosthesis ,medicine ,Humans ,Radiology, Nuclear Medicine and imaging ,Aged ,business.industry ,MORTALITY ,Stent ,Perioperative ,Odds ratio ,Length of Stay ,medicine.disease ,Confidence interval ,RANDOMIZED-TRIAL ,Surgery ,Blood Vessel Prosthesis ,Logistic Models ,Multivariate Analysis ,Linear Models ,business ,local anesthesia ,LOCAL-ANESTHESIA ,Anesthesia, Local ,Aortic Aneurysm, Abdominal - 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
- Published
- 2015