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ITALIAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY
A Journal on Vascular and Endovascular Surgery
Giornale Italiano di Chirurgia Vascolare 1999 June;6(2):119-27
language: English, Italian
Aortic endovascular grafting. A comparison between local and general anaesthesia
Parlani G., Barzi F. *, Verzini F., Caporali S., De Rango P., Zannetti S., Maselli A. *, Simoncini F. **, Cao P.
From the Vascular Surgery Unit
* Department of Radiology
** Department of Anaesthesia and Resuscitation
Policlinico Monteluce, Perugia, Italy
Background. The aim of the present study was to evaluate the feasibility of endovascular repair of abdominal aortic aneurysms (AAA) under local anaesthesia.
Methods. Between November 1, 1996 and June 6, 1998, ninety-one patients underwent endovascular repair of AAA at the Unit of Vascular Surgery, Policlinico Monteluce, Perugia. Seven patients, operated with a first generation device, and 3 patients requiring conversion to open repair were excluded from the present study. Thus, the study cohort was composed of 81 patients undergoing endovascular AAA repair with the Aneurx stent graft: 41 under local anaesthesia (group A), and 40 under general anaesthesia (group B).
Results. Four patients (9%) required conversion from local to general anaesthesia. No significant differences were observed between the two groups with respect to operating time, fluoro time, amount of contrast media used, blood loss or transfused blood, major postoperative morbidity occurred in 3 patients from Group B (7.5%), and in no patients in Group A (p=0.11).
Patients in Group B had a significantly longer stay in the intensive care unit than patients in Group A (5/40 vs 0/40, p=0.02). Patients in Group B were hospitalised for a longer period of time (3.4 vs 2.6, p=0.3).
Conclusions. The use of local anaesthesia is feasible for the endovascular treatment of AAA and is associated with a reduction in intensive care unit stay, and hospital stay.