Global Journal of Anesthesiology eertechz Citation: Erkiliç E, Kesimci E, Döğer C, Gümüş T, Yalçin A, et al. (2015) Anesthetic Management and Perioperative Complications in Endovascular Interventions: The Turkish Experience. Glob J Anesthesiol 2(1): 006-011. 006 Abstract Background and Aim: Thoracic, abdominal and thoraco-abdominal aortic pathologies have highest mortality and morbidity causing pathologies in cardiovascular surgery. Co-existing diseases and age signiicantly increase risk of anesthesia and mortality rate in treatment of these patients. Endovascular techniques are used increasingly due to minimally invasive approach, decreased anesthesia risk during implementation, reduced length of hospital stay, and low mortality and mobidity rates. The aim of this investigation was to report our anesthetic experiences in endovascular techniques performed at our center. Materials and Methods: We evaluated 120 (19 females, 101 males; mean age: 67±12 years) consecutive symptomatic patients with thoracic and abdominal aortic pathologies who underwent endovascular stent graft surgery with either general or regional anesthesia or sedoanalgesia between 2009 and 2014, at our center. Results: The number of patients having abdominal endovascular stent graft surgery was 81. Among the rest; 87% underwent thoracic endovascular aneurysm repair, while 13% had both of the interventions. The duration of anesthesia and surgery was not different among the intervention groups. 86.8% of patients had general anesthesia, while 12.3% and 0.9% had regional anesthesia and sedoanalgesia; respectively. Postoperatively, the rate of being intubated and the length of stay in intensive care unit were found signiicantly lower in endovascular aortic repair (EVAR) group. Conclusion: EVAR should be considered as a beneicial alternative treatment option for high-risk and inoperable, elderly patients. Anesthesiological approach to be selected in these patients may be affected not only by general condition and cooperation of the patient, but also by the location of the pathology and duration of the process. Thus, the anesthesiologists should be prepared to face issues related to the patient’s safety both during the administration of anesthesia and in the postoperative period. for a consecutive series of patients who underwent endovascular abdominal and thoracalaneurysm repair in our institution within a 5-year period. Materials and Methods Between 2009 and 2014, EVAR and TEVAR procedures were performed in one hundred and twenty symptomatic but unrupturedpatientsat Ankara Atatürk Education and Research Hospital. We analysed the data of these patients with regard to anesthetic issues. he Institutional ethics committee approved the study and informed consent was obtained from all patients.Patients were evaluated preoperatively. Routine anesthetic preprocedural evaluation focused on cardiovascular parameters, airway control, and other systemic dysfunctions. No premedication was given. Clinical data of patients, parameters for process, duration of intensive care unit and hospital stay up to discharge time were recorded. All procedures were performed in the interventional radiology unit in our hospital due to lack of hybrid operating room. Ater inserting an intravenous(IV) catheter into a large arm vein, standard monitoring was applied. In addition to standard monitoring, invasive arterial Introduction Abdominal and thoracic aortic aneurysms (AAA and TAA) are major common health problems in men over the age of 65 in developed countries [1]. he age-related increase in the incidence of AAA and TAAA makesmore diicult the intervention due to high rate ofcomorbidities [2-4]. Open repair is associated with high operative morbidity. On the other hand, some authors reported a mortality rate less than 5%and prolonged hospital stay in well organized centers, even in ruptured aneurysms the results did not difer signiicantly [5-8]. EVAR is a minimally invasive and an alternative treatment technique compared with traditional open surgery. By this way, hemodynamic luctuations and endocrine stress response are lessened and cardiac and pulmonary complications are rare [9-12]. hese advantages accelerate the weaning period [13]. An anesthesiologist plays an essential role for these patients. For successful anesthetic management in these patients, it is important to select the best approach with an understanding of the patient’s health status and choices. his paper evaluates the perioperative anesthetic experiences Research Article Anesthetic Management and Perioperative Complications in Endovascular Interventions: he Turkish Experience Ezgi Erkiliç*, Elvin Kesimci, Cihan Döğer, Tülin Gümüş, Abdullah Yalçin and Orhan Kanbak Anesthesiology and Reanimation Department, Ataturk Training and Research Hospital, Ankara, Turkey Dates: Received: 27 January, 2015; Accepted: 16 March, 2015; Published: 18 March, 2015 *Corresponding author: Ezgi Erkılıc, MD, Consultant of Anesthesia, Anesthesiology and Reanimation Department, Ataturk Training and Research Hospital, Ankara, Turkey, E-mail: www.peertechz.com Keywords: Endovascular surgery; Anesthesia