What question did this study set out to answer?

To compare the outcomes of endovascular aortic repair under general vs. local anesthesia for abdominal aortic aneurysms.

November 12, 2025The American SurgeonOpen Access

Local Anesthesia Is Associated With Lower Mortality After Endovascular Repair of Ruptured Abdominal Aortic Aneurysm

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Analysis shows local anesthesia lowers mortality rates in ruptured abdominal aortic aneurysm patients, suggesting a better approach for treatment.

To compare the outcomes of endovascular aortic repair under general vs. local anesthesia for abdominal aortic aneurysms.
Analysis of SVS-VQI registry data from 2003-2021
Patients divided into symptomatic non-ruptured and ruptured aneurysm groups
Comparison of anesthesia types and associated outcomes
Local anesthesia linked to lower 30-day mortality (12.3% vs 20.5%)
In-hospital mortality also lower with local anesthesia (10.3% vs 19.1%)
Local anesthesia associated with shorter ICU stay and lower complication rates

Choi et al. (2025) studied this question.

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Analysis shows local anesthesia lowers mortality rates in ruptured abdominal aortic aneurysm patients, suggesting a better approach for treatment.