According to the report, endovascular repair of abdominal aortic aneurysms was introduced in 1990 to offer a lower-risk alternative to traditional open surgical repair. EVAR has been proven to reduce certain classes of morbidity and hospital length of stay, with conflicting results regarding reductions in early-term and long-term mortality rates.
This study assessed the outcomes of EVAR repair using anesthesia care — general, spinal, epidural and local/monitored anesthesia. The study found that general anesthesia was associated with an increased in pulmonary morbidity compared with spinal anesthesia or local/MAC anesthesia. Local/MAC and spinal anesthesia techniques were able to reduce length of stay by 10 percent to 20 percent, respectively.
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