Endovascular Repair of a Large Ruptured Abdominal Aortic Aneurysm Using Monitored Anesthesia Care and Local Anesthesia

R. W. Franz; V. J. Nardy; D. Burkdoll

doi:10.1055/s-0034-1376884

International Journal of Angiology, Inhaltsverzeichnis

Int J Angiol 2014; 23(02): 121-124
DOI: 10.1055/s-0034-1376884

Original Article

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Endovascular Repair of a Large Ruptured Abdominal Aortic Aneurysm Using Monitored Anesthesia Care and Local Anesthesia

Autoren

R. W. Franz

¹OhioHealth, Columbus, Ohio
V. J. Nardy

¹OhioHealth, Columbus, Ohio
D. Burkdoll

¹OhioHealth, Columbus, Ohio

Abstract

Over the last decade, there has been a paradigm shift in the treatment of ruptured abdominal aortic aneurysm (AAA) from open repair to endovascular aneurysm repair (EVAR). Regardless of the method used during emergent rupture, open verses endovascular repair, the overall mortality remains high. Recent studies have compared patient outcomes using different types of anesthesia during elective EVAR procedures. The data show that during an elective EVAR, monitored anesthesia care (MAC) with local anesthesia is not only just as safe as general anesthesia, but it offers other potential benefits as well. There is limited data in regards to patient outcomes using MAC and local anesthesia during cases of large ruptured aneurysms that are treated with EVAR. This case report discusses the treatment of a patient who presented with a large 13 cm ruptured AAA which was successfully repaired using EVAR with MAC and local anesthesia.

Keywords

ruptured abdominal aortic aneurysm - endovascular aortic repair - endovascular aneurysm repair

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References
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