Local versus general anesthesia for endovascular aneurysm repair in ruptured abdominal aortic aneurysm: A systematic review and meta‐analysis

Objectives/Background In the endovascular treatment of ruptured abdominal aortic aneurysm (RAAA), there is no effective evidence to show preference for a specific anesthetic option. A meta‐analysis was conducted to assess the result of different anesthesia in endovascular aneurysm repair (EVAR) of R...

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Bibliographic Details
Published in:Catheterization and cardiovascular interventions 2022-10, Vol.100 (4), p.679-686
Main Authors: Lei, Jiahao, Pu, Hongji, Wu, Zhaoyu, Huang, Qun, Yang, Xinrui, Liu, Guang, Lu, Xinwu
Format: Article
Language:English
Subjects:
abdominal
Anesthesia
aortic aneurysm
Aortic aneurysms
Cardiovascular system
Clinical trials
Cohort analysis
endovascular procedures
General anesthesia
hemodynamics
Ischemia
Local anesthesia
Meta-analysis
meta‐anlysis
Morbidity
Mortality
Myocardial infarction
Patients
rupture
Sensitivity analysis
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Summary:Objectives/Background In the endovascular treatment of ruptured abdominal aortic aneurysm (RAAA), there is no effective evidence to show preference for a specific anesthetic option. A meta‐analysis was conducted to assess the result of different anesthesia in endovascular aneurysm repair (EVAR) of RAAA. Methods Randomized controlled trials (RCTs) and cohort studies were searched in PubMed, Embase, Ovid, and the Cochrane Library. Newcastle‐Ottawa Scale and the Cochrane Risk of Bias Tool were applied to evaluate the quality of cohort studies and RCTs, respectively. Odds ratios (ORs) and 95% confidence intervals (CIs) were used to express differences for primary and secondary outcomes. Subgroup analyses and sensitivity analyses were applied in the primary outcome to illustrate the results further. Significance was set at p 
ISSN:1522-1946
1522-726X
DOI:10.1002/ccd.30326