Continuous Spinal Anaesthesia for Endovascular Repair of Abdominal Aortic Aneurysm in High-Risk Patient

Abstract

Endovascular aneurysm repair (EVAR) is increasingly being used in abdominal aortic aneurysm (AAA) treatment, as it is less invasive than open surgery. A wide range of anaesthetic types, such as general anaesthesia, neuroaxial blocks and local anaesthesia, have been shown to be appropriate for the EVAR procedure. In the continuous spinal anaesthesia (CSA) method, the local anaesthetic may be titrated through a catheter placed in the subarachnoid space, allowing better control of the anaesthetic level and a reduction in potential haemodynamic side effects. Our aim is to present CSA as a successful anaesthetic technique for EVAR in an AAA patient with severe co-existing diseases.