Endovascular Repair of a Large Ruptured Abdominal Aortic Aneurysm Using Monitored Anesthesia Care and Local Anesthesia
Endovascular Repair of a Large Ruptured Abdominal Aortic Aneurysm Using Monitored Anesthesia Care and Local Anesthesia
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DOI：
10.1055/s-0034-1376884
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发表时间：
2014-06-01
影响因子：
0.6
通讯作者：
Burkdoll, D.
中科院分区：
文献类型：
--
作者：
Franz, R. W.;Nardy, V. J.;Burkdoll, D.
在过去十年中，破裂腹主动脉瘤（AAA）的治疗发生了范式转变，从开放性修复术到动脉瘤腔内修复术（EVAR）。无论急诊破裂期间使用何种方法，开放与腔内修复术，总体死亡率仍然很高。最近的研究比较了择期腹主动脉瘤腔内修复术期间使用不同类型麻醉的患者结局。数据显示，在择期腹主动脉瘤腔内修复术期间，局部麻醉的监测麻醉护理（MAC）不仅与全身麻醉一样安全，而且还提供了其他潜在受益。在采用腹主动脉瘤腔内修复术治疗的大型破裂动脉瘤病例中，关于使用MAC和局部麻醉的患者结局的数据有限。本病例报告讨论了1例13 cm大型破裂AAA患者的治疗，该患者使用腹主动脉瘤腔内修复术（MAC）和局部麻醉成功修复。
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.