Safety and efficacy of the percutaneous thoracic endovascular repair with regional anesthesia
| Autor: | Satoru Domoto, Yoshihiko Yokoi, Minako Hayakawa, Hiroshi Niinami, Minoru Nomura, Shogo Isomura, Takashi Azuma, Keisuke Nakazawa, Akiko Yamagata |
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| Rok vydání: | 2020 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty Percutaneous medicine.medical_treatment Aorta Thoracic Arteriotomy 030204 cardiovascular system & hematology Blood Vessel Prosthesis Implantation 03 medical and health sciences 0302 clinical medicine Anesthesia Conduction Risk Factors Humans Medicine Retrospective Studies Aortic Aneurysm Thoracic business.industry Endovascular Procedures General Medicine Surgery Cardiac surgery Treatment Outcome Mean blood pressure Blood pressure Cardiothoracic surgery 030220 oncology & carcinogenesis Hemostasis Nerve block Cardiology and Cardiovascular Medicine business |
| Zdroj: | General Thoracic and Cardiovascular Surgery. 69:267-273 |
| ISSN: | 1863-6713 1863-6705 |
| DOI: | 10.1007/s11748-020-01452-w |
| Popis: | Thoracic endovascular aortic repair (TEVAR) is typically performed with general anesthesia (GA) and surgical cutdown (G-TEVAR). As the latest generation of TEVAR delivery systems are smaller, we introduced percutaneous TEVAR with regional anesthesia (RA) (R-TEVAR) and an arteriotomy closure device. In this study, we compare the safety and efficacy of R-TEVAR to that of the G-TEVAR. This single-center observational study included consecutive patients who underwent either G-TEVAR between January 2015 and October 2018 (33 patients) or R-TEVAR (41 patients) between January 2018 and April 2020. RA was achieved using an ultrasound-guided nerve block. The mean outer diameter of the delivery device was significantly smaller in R-TEVAR (18.5 vs. 22.7 Fr; p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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