Why the study?
Most prior anesthesia data came from infrarenal EVAR, leaving the optimal anesthesia choice for complex EVAR less established.
Does locoregional anesthesia improve 30-day outcomes compared to general anesthesia in patients undergoing non-emergency complex EVAR?
Population
Patients undergoing non-emergency EVAR for complex AAA in the ACS-NSQIP targeted database
Comparison
Locoregional anesthesia vs general anesthesia
Design
Retrospective 1:2 propensity-score-matched study
Follow-up
30 days
Authors
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Locoregional anesthesia may be feasible for complex EVAR; leaves open need for randomized confirmation before practice change.
Does locoregional anesthesia improve 30-day outcomes compared to general anesthesia in patients undergoing non-emergency complex EVAR?
Locoregional anesthesia is a viable alternative to general anesthesia for complex EVAR, associated with a shorter hospital length of stay and comparable 30-day mortality and complication rates.
Li et al. (2025) studied this question.
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