open access

Vol 6, No 1 (2004)
Published online: 2004-03-16
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Local anaesthesia with intravenous analgosedation in endovascular treatment of abdominal aortic aneurysm - own experience

Ewa Wach, Agata Bigewska, Wacław Kuczmik, Aleksandra Machura, Damian Ziaja, Krzysztof Szaniewski, Jacek Kostyra, Teresa Kowalewska-Twardela
Chirurgia Polska 2004;6(1):1-5.

open access

Vol 6, No 1 (2004)
Published online: 2004-03-16

Abstract

Background: Open surgery of abdominal aortic aneurysm (AAA) still remains the main means of therapy. Patients with AAA usually belong to a high-risk group suffering from various co morbidities: cardiac, pulmonary, renal diseases and diabetes. This is why endovascular treatment under a local anesthesia with intravenous analgosedation deserves attention.
Materials and methods: In the Department of General and Vascular Surgery in Katowice, during a 23 month period, a group of 52 high-risk patients aged 51 to 85 underwent endovascular therapy for AAA. Surgical and anaesthetic complications were significantly reduced by means of changing the character of anaesthesia (from general to local) and by means of the endovascular procedure application which is less traumatic and extensive by nature.
Results: During a 30 day postoperative period, the mortality rate was 0% and 49 patients presented no cardiopulmonary complications.
Conclusions: The new method of treatment seems to be useful especially in high-risk patients.

Abstract

Background: Open surgery of abdominal aortic aneurysm (AAA) still remains the main means of therapy. Patients with AAA usually belong to a high-risk group suffering from various co morbidities: cardiac, pulmonary, renal diseases and diabetes. This is why endovascular treatment under a local anesthesia with intravenous analgosedation deserves attention.
Materials and methods: In the Department of General and Vascular Surgery in Katowice, during a 23 month period, a group of 52 high-risk patients aged 51 to 85 underwent endovascular therapy for AAA. Surgical and anaesthetic complications were significantly reduced by means of changing the character of anaesthesia (from general to local) and by means of the endovascular procedure application which is less traumatic and extensive by nature.
Results: During a 30 day postoperative period, the mortality rate was 0% and 49 patients presented no cardiopulmonary complications.
Conclusions: The new method of treatment seems to be useful especially in high-risk patients.
Get Citation

Keywords

abdominal aortic aneurysm; stent-graft implantation; analgosedation; high-risk patient

About this article
Title

Local anaesthesia with intravenous analgosedation in endovascular treatment of abdominal aortic aneurysm - own experience

Journal

Chirurgia Polska (Polish Surgery)

Issue

Vol 6, No 1 (2004)

Pages

1-5

Published online

2004-03-16

Bibliographic record

Chirurgia Polska 2004;6(1):1-5.

Keywords

abdominal aortic aneurysm
stent-graft implantation
analgosedation
high-risk patient

Authors

Ewa Wach
Agata Bigewska
Wacław Kuczmik
Aleksandra Machura
Damian Ziaja
Krzysztof Szaniewski
Jacek Kostyra
Teresa Kowalewska-Twardela

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