GKD Anest Yoð Bak Dern Derg. 2021; 27(4): 272-280 | DOI: 10.5222/GKDAD.2021.29053

Endovasküler Aort Onarýmýnda Anestezi Yönetimi

Arzu Karaveli
Saðlýk Bilimleri Üniversitesi Antalya Eðitim ve Araþtýrma Hastanesi, Anesteziyoloji ve Reanimasyon Kliniði, Antalya, Türkiye

Amaç: Çalýþmamýzda, aort patolojisi nedeni ile endovasküler aort onarýmý uygulanan hastalarýn
anestezi tekniklerinin ve sonuçlarýnýn geriye yönelik olarak incelenmesi amaçlanmýþtýr.
Yöntem: Bu retrospektif ve gözlemsel çalýþmaya, 2015-2021 yýllarý arasýnda abdominal ve/veya
torasik aort anevrizmasý nedeni ile EVAR veya TEVAR uygulanan hastalar dahil edildi. Hastalarýn
demografik verileri, cerrahi ve anestezi tipi, cerrahi ve anestezi süresi, kan transfüzyon miktarý, YBÜ
ve hastanede yatýþ süreleri kayýt altýna alýndý.
Bulgular: Abdominal ve/veya torasik aort anevrizmasý nedeni ile EVAR ve TEVAR uygulanan toplam
206 hastanýn verilerine ulaþýldý. 63 hastaya TEVAR ve 143 hastaya EVAR uygulandýðý saptandý.
TEVAR yapýlan 63 hastanýn tümüne genel anestezi (GA) altýnda iþlem yapýlýrken, EVAR uygulanan
15 hastaya GA altýnda ve 128 hastaya rejyonal anestezi (RA) altýnda iþlemin yapýldýðý tespit edildi.
Ortalama anestezi ve cerrahi süreleri GA uygulananlarda 136.1±72.0 dak. ve 112.2±71.3 dak. ve RA
uygulananlarda 112.2±71.3 dak. ve 96.5±32.1 dak. olarak bulundu. Ortalama YBÜ ve hastanede
yatýþ süreleri GA uygulananlarda 1.6±2.1 gün ve 3.1±2.7 gün; RA uygulananlarda 1.2±0.6 gün ve
3.1±2.5 gün olarak belirlendi.
Sonuç: Aort anevrizmasý nedeni ile EVAR uygulanan hastalarda anestezi tekniði olarak GA veya RA
yöntemleri tercih edilmektedir. EVAR’da RA’nin GA’ye göre hastane ve YBÜ’de kalýþ sürelerini kýsaltmasý,
kan ürün gereksinimini azaltmasý, gerek anestezi gerekse de cerrahi iþlem sürelerini kýsaltmasý
gibi avantajlarý olmakla birlikte, anestezi tekniðinin seçiminde hasta özelliklerinin de göz önünde
bulundurulmasý gerekmektedir.

Anahtar Kelimeler: aort anevrizmasý, endovasküler aort onarýmý, genel anestezi, rejyonal anestezi

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Anesthesia Management in Endovascular Aortic Repair

Arzu Karaveli
University of Health Sciences, Antalya Training and Research Hospital, Department of Anesthesiology and Reanimation, Antalya, Turkey

Objective: Our study aimed to examine retrospectively the anesthesia techniques and their results
applied to patients who underwent endovascular aortic repair due to aortic pathology.
Methods: This retrospective and observational study included patients who underwent EVAR or
TEVAR for abdominal and/or thoracic aortic aneurysm between 2015-2021. Patients’ demographic
data, type of surgery and anesthesia, duration of surgery and anesthesia, amount of blood
transfusion, lengths of stay in ICU and of hospital were recorded.
Results: The data of 206 patients who underwent EVAR and TEVAR for abdominal and/or thoracic
aortic aneurysm were obtained. TEVAR was applied to 63 patients and EVAR was applied to 143
patients. The procedure was performed under general anesthesia (GA) in all 63 patients who
underwent TEVAR, while 15 patients who underwent EVAR were operated under GA and 128
patients under regional anesthesia (RA). The mean anesthesia and surgery times were found
136.1±72.0 min. and 112.2±71.3 min. in GA patients and it was 112.2±71.3 min. and 96.5±32.1
min. in RA patients. The mean length of ICU and hospital stays were determined as 1.6±2.1 days
and 3.1±2.7 days in GA patients, and 1.2±0.6 days and 3.1±2.5 days in RA patients.
Conclusion: GA or RA methods are preferred as anesthesia techniques in patients undergoing EVAR
due to aortic aneurysm. Although RA has advantages compared to GA, such as shorting the lenght
of hospital and ICU stays, reducing the blood product requirements, shorting both anesthesia and
surgery times, patient characteristics should also be considered in the selection of anesthesia
techniques.

Keywords: aortic aneurysm, endovascular aortic repair, general anesthesia, regional anesthesia

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