Spinal anesthesia with mild sedation can be a feasible option for endovascular stent grafting in patients with significant comorbidities like pulmonary embolus.
May support spinal anesthesia for EVAR in select high-risk patients; hypothesis-generating and leaves broader adoption open pending controlled data.
Endovascular stent grafting procedures for aortic aneurysms use different anesthetic techniques including general anesthesia, epidural anesthesia, spinal anesthesia and local anesthesia. Although there is little information regarding which type of anesthesia is the safest, the use of local or regional anesthesia decreases morbidity and mortality compared to the use of general anesthesia, especially in patients with comorbidities. Here, we report a 70-year-old male patient with dissecting abdominal aortic aneurysm and pulmonary embolus who underwent an endovascular stent grafting procedure under spinal anesthesia with mild sedation. Also, the literature regarding the advantages and disadvantages of different anesthesia methods which may be preferred for endovascular stent grafting is reviewed.
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Nevriye Salman (2011) studied this question.
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