Nevriye SALMAN, Tanzer SERTER, Cem YORGANCIOĞLU, Halil İbrahim UÇAR

Endovascular repair of dissecting abdominal aortic aneurism under spinal anesthesia in a patient with pulmonary embolus

Aort anevrizmalarında uygulanan endovasküler stent greftleme işlemlerinde genel anestezi, epidural anestezi, spinal anestezi ve lokal anestezi gibi farklı anestezi teknikleri kullanılmaktadır. Hangi anestezi yönteminin en güvenli olduğu konusunda çok az bilgi olmasına karşın, özellikle eşlik eden hastalıkları bulunan hastalarda lokal veya rejyonel anestezi genel anesteziye kıyasla morbidite ve mortaliteyi azaltmaktadır. Burada, hafif sedasyonlu spinal anestezi altında endovasküler stent greftleme işlemi uygulanan dissekan abdominal aort anevrizmalı ve pulmoner embolili 70 yaşında bir erkek hasta sunuldu. Ayrıca endovasküler stent greftlemede tercih edilebilecek farklı anestezi yöntemlerinin avantaj ve dezavantajları ile ilgili literatür gözden geçirildi.

Pulmoner embolisi olan bir hastada dissekan abdominal aort anevrizmasının spinal anestezi altında endovasküler onarımı

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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