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Journals / Meandros Medical And Dental Journal / 2026 / Volume: 27 Issue: 2

Anesthesia Strategy and Clinical Outcomes in Ruptured Aortic Aneurysm Repair: Insights from EVAR and TEVAR

Rüptüre Aort Anevrizması Onarımında Anestezi Stratejileri ve Klinik Sonuçlar: EVAR ve TEVAR Deneyimi

Yaşar Gökhan Gül(ISTANBUL MEDIPOL UNIVERSITY, SCHOOL OF MEDICINE)0000-0001-9531-4317
Nurdan Yilmaz(ISTANBUL MEDIPOL UNIVERSITY, SCHOOL OF MEDICINE)0000-0003-4741-7877
Pages
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Publication Date
2026-06-24
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusions: In conclusion, anesthesia choice was associated with differences in ICU stay duration and comorbidity distribution.

📌 3 Key Takeaways

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Objective & Hypothesis:Background and Objectives: This retrospective study evaluated anesthesia methods in patients undergoing endovascular repair (EVAR or TEVAR) for ruptured abdominal or thoracic aortic aneurysms for the purpose of examining the association between anesthesia choice, patient characteristics, and clinical results.
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Key Findings & Data:Materials and Methods: Forty-seven consecutive patients treated during the study period were retrospectively analyzed at our university hospital between 2022 and 2023 were included and categorized according to anesthesia technique as general anesthesia (GA) or conscious sedation and local anesthesia (CS-LA).
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Conclusion & Impact:Conclusions: In conclusion, anesthesia choice was associated with differences in ICU stay duration and comorbidity distribution.
🔬Design:Research Article
📍Scope:2022 Verileri
⚙️Variables:Aortic aneurysm · Endovascular Aneurysm Repair (EVAR) · Thoracic Endovascular Aortic Repair (TEVAR)

Abstract

Background and Objectives: This retrospective study evaluated anesthesia methods in patients undergoing endovascular repair (EVAR or TEVAR) for ruptured abdominal or thoracic aortic aneurysms for the purpose of examining the association between anesthesia choice, patient characteristics, and clinical results. Materials and Methods: Forty-seven consecutive patients treated during the study period were retrospectively analyzed at our university hospital between 2022 and 2023 were included and categorized according to anesthesia technique as general anesthesia (GA) or conscious sedation and local anesthesia (CS-LA). Demographic data, comorbidities, surgical history, perioperative variables, and postoperative outcomes were retrospectively recorded and analyzed. Results: The age distribution showed a median value of 70 years [IQR: 64–76], and five patients were female. COPD showed a higher prevalence in the CS-LA group compared with the GA group (30.4% vs. 8.3%, p = 0.049). An ICU stay longer than one day occurred more frequently in patients receiving GA than in those managed with CS-LA (25% vs. 8.7%, p = 0.045). Groups did not differ significantly with respect to early mortality rates between the anesthesia groups (p > 0.05). When patients were stratified by ICU length of stay, diabetes mellitus was significantly associated with prolonged ICU admission (50% vs. 12.8%, p = 0.033). Conclusions: In conclusion, anesthesia choice was associated with differences in ICU stay duration and comorbidity distribution. GA was more often selected for patients with prior surgical history, whereas CS-LA was preferentially selected for patients with COPD, suggesting that anesthesia strategy may be tailored to patient characteristics in ruptured EVAR/TEVAR cases.

Özet

Amaç: Bu retrospektif çalışmada, rüptüre abdominal veya torasik aort anevrizması nedeniyle endovasküler onarım (EVAR veya TEVAR) uygulanan hastalarda kullanılan anestezi yöntemleri değerlendirilmiş; anestezi seçimi ile hasta özellikleri ve klinik sonuçlar arasındaki ilişki incelenmiştir. Gereç ve Yöntem: 2022–2023 yılları arasında üniversite hastanemizde tedavi edilen toplam 47 hasta çalışmaya dahil edildi ve uygulanan anestezi tekniğine göre genel anestezi (GA) veya bilinçli sedasyon destekli lokal anestezi (CS-LA) gruplarına ayrıldı. Demografik veriler, komorbiditeler, cerrahi öykü, perioperatif değişkenler ve postoperatif sonuçlar retrospektif olarak kaydedildi ve analiz edildi. Bulgular: Hastaların medyan yaşı 70 yıl [IQR: 64–76] olup, beş hasta kadındı. KOAH sıklığı CS-LA grubunda GA grubuna kıyasla anlamlı olarak daha yüksekti (%30,4 vs. %8,3; p = 0,049). Bir günden uzun yoğun bakım yatışı GA uygulanan hastalarda CS-LA grubuna göre daha sık görüldü (%25 vs. %8,7; p = 0,045). Erken mortalite açısından anestezi grupları arasında anlamlı fark saptanmadı (p > 0,05). Yoğun bakım yatış süresine göre yapılan alt grup analizinde, diabetes mellitusun uzamış yoğun bakım yatışı ile anlamlı ilişkili olduğu görüldü (%50 vs. %12,8; p = 0,033). Sonuç: Anestezi seçimi, yoğun bakım yatış süresi ve komorbidite dağılımındaki farklılıklarla ilişkili bulunmuştur. Önceki cerrahi öyküsü olan hastalarda genel anestezi daha sık tercih edilirken, KOAH’lı hastalarda CS-LA ön planda kullanılmıştır. Bu bulgular, rüptüre EVAR/TEVAR olgularında anestezi stratejisinin hasta özelliklerine göre bireyselleştirilebileceğini düşündürmektedir.

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Cite This Article

Gül, Y. G., Yilmaz, N. (2026). Anesthesia Strategy and Clinical Outcomes in Ruptured Aortic Aneurysm Repair: Insights from EVAR and TEVAR. Meandros Medical And Dental Journal, Volume: 27 Issue: 2. https://doi.org/10.69601/meandrosmdj.1892639

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