Table III.
Outcomes by type of anesthesia during endovascular aneurysm repair (EVAR)
| Variablea | Elective EVAR (n = 6009) |
Anesthesia General (n = 4868) |
Spinal (n = 419) |
Epidural (n = 331) |
Local/MAC (n = 391) |
|---|---|---|---|---|---|
| Morbidity (any of below) | 677 (11.3) | 567 (11.7) | 37 (8.8) | 43 (13.0) | 30 (7.7) |
| Wound problems | |||||
| Superficial wound infection | 97 (1.6) | 84 (1.7) | 8 (1.9) | 4 (1.2) | 1 (0.3) |
| Deep wound infection | 34 (0.6) | 31 (0.6) | 2 (0.5) | 0 | 1 (0.3) |
| Organ space wound infection | 3 (0.1) | 1 (0.0) | 0 | 1 (0.3) | 1 (0.3) |
| Wound dehiscence | 16 (0.3) | 15 (0.3) | 0 | 1 (0.3) | 0 |
| Any superficial or deep wound infection | 130 (2.2) | 115 (2.4) | 9 (2.2) | 4 (1.2) | 2 (0.5) |
| Pulmonary | |||||
| Pneumonia | 73 (1.2) | 67 (1.4) | 2 (0.5) | 3 (0.9) | 1 (0.3) |
| Unplanned reintubation | 99 (1.7) | 91 (1.9) | 0 | 4 (1.2) | 4 (1.0) |
| Failure to wean from ventilator | 75 (1.3) | 71 (1.5) | 1 (0.2) | 2 (0.6) | 1 (0.3) |
| Any pulmonary morbidity | 168 (2.8) | 155 (3.2) | 3 (0.7) | 5 (1.5) | 5 (1.3) |
| Venous thromboembolic | |||||
| Deep venous thrombosis | 35 (0.6) | 30 (0.6) | 1 (0.2) | 3 (0.9) | 1 (0.3) |
| Pulmonary embolism | 9 (0.2) | 8 (0.2) | 0 | 1 (0.3) | 0 |
| Genitourinary | |||||
| Acute renal insufficiency | 35 (0.6) | 29 (0.6) | 2 (0.5) | 3 (0.9) | 1 (0.3) |
| Acute renal failure | 50 (0.8) | 46 (0.9) | 1 (0.2) | 2 (0.6) | 1 (0.3) |
| Urinary tract infection | 99 (1.7) | 81 (1.7) | 8 (1.9) | 5 (1.5) | 5 (1.3) |
| Any renal insufficiency or renal failure | 79 (1.3) | 69 (1.4) | 3 (0.7) | 5 (1.5) | 2 (0.5) |
| Cardiovascular | |||||
| Stroke | 27 (0.5) | 21 (0.4) | 2 (0.5) | 1 (0.3) | 3 (0.8) |
| Cardiac arrest | 25 (0.4) | 20 (0.4) | 1 (0.2) | 2 (0.6) | 2 (0.5) |
| Myocardial infarction | 15 (0.3) | 14 (0.3) | 0 | 1 (0.3) | 0 |
| Operative | |||||
| Postoperative hemorrhage/transfusions | 31 (0.5) | 26 (0.5) | 1 (0.2) | 3 (0.9) | 1 (0.3) |
| Graft failure | 56 (0.9) | 45 (0.9) | 2 (0.5) | 5 (1.5) | 4 (1.0) |
| Return to operating room | 260 (4.3) | 214 (4.4) | 13 (3.1) | 18 (5.4) | 15 (3.8) |
| Septic | |||||
| Sepsis | 62 (1.0) | 49 (1.0) | 6 (1.4) | 6 (1.8) | 1 (0.3) |
| Septic shock | 53 (0.9) | 46 (0.9) | 1 (0.2) | 3 (0.9) | 3 (0.8) |
| Death | 68 (1.1) | 60 (1.2) | 1 (0.2) | 4 (1.2) | 3 (0.8) |
| Post-op surgical length of stay, days | 2.8 ± 4.3 | 2.9 ± 4.2 | 2.1 ± 1.8 | 2.7 ± 5.1 | 2.3 ± 6.1 |
| Length of stay, days | 2 (1, 3) | 2 (1, 3) | 1 (1, 2) | 2 (1, 3) | 1 (1, 2) |
MAC, Monitored anesthesia care.
a
Data are presented as mean ± standard deviation, number (%), and median (interquartile range).