Key result
Endovascular abdominal aortic aneurysm repair is a minimally invasive alternative to open surgical repair that requires comprehensive multidisciplinary preoperative assessment and tailored anesthetic management.
Comprehensive perioperative anesthetic management is crucial for optimizing outcomes in patients undergoing endovascular abdominal aortic aneurysm repair.
Aneurysm is defined as a localized and permanent dilatation with an increase in normal diameter by more than 50%. It is more common in males and can affect up to 8% of elderly men. Smoking is the greatest risk factor for abdominal aortic aneurysm (AAA) and other risk factors include hypertension, hyperlipidemia, family history of aneurysms, inflammatory vasculitis, and trauma. Endovascular Aneurysm Repair [EVAR] is a common procedure performed for AAA, because of its minimal invasiveness as compared with open surgical repair. Patients undergoing EVAR have a greater incidence of major co-morbidities and should undergo comprehensive preoperative assessment and optimization within the multidisciplinary settings. In majority of cases, EVAR is extremely well-tolerated. The aim of this article is to outline the Anesthetic considerations related to EVAR.
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Kothandan et al. (2016) conducted a review in Abdominal aortic aneurysm. Endovascular abdominal aortic aneurysm repair (EVAR) vs. Open surgical repair was evaluated. Endovascular abdominal aortic aneurysm repair is a minimally invasive alternative to open surgical repair that requires comprehensive multidisciplinary preoperative assessment and tailored anesthetic management.
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