Journal of Anesthesia and SurgeryJournal of Anesthesia and SurgeryJournal of Anesthesia and SurgeryJournal of Anesthesia and Surgery2377-1364Ommega Online PublishersNew Jersey, USA356710.15436/2377-1364.21.3567Research ArticlePreoperative endoleak type and intraoperative blood loss in aneurysmorrhaphy: a case series of 18 patientsPreoperative endoleak type and intraoperative blood loss in aneurysmorrhaphy: a case series of 18 patientsKoheiIkeda1Department of Anesthesiology Jikei University School of Medicine Tokyo Japan 2Department of Vascular Surgery Jikei University School of Medicine Tokyo JapanEditor* E-mail: k.i@jikei.ac.jp
The authors have declared that no competing interests exist.
20210706202171JAS-21-RA-356716052021040620212021Creative Commons Attribution LicenseThis is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.Endovascular aneurysm repair EVAR has become possible treatment option of abdominal aortic aneurysms and endoleak was the most common complication after EVAR Comparing to conventional open surgical treatment including open graft replacement aneurysmorrhaphy is considered as a less invasive treatment for cases failed with transarterial coil or other interventions against aneurysm enlargement due to endoleakafter EVAR In our institution a total of 18 patients underwent aneurysmorrhaphy for aneurysmal sac expansion after EVAR from 2010 to 2017 We report 18 cases who experienced aneurysmorrhaphy for endoleak after EVAR Among these 18 cases we describe two cases typical case and massive bleeding case of type II endoleak and two cases of endotension In our cases aneurysmorrhaphy often caused massive bleeding in the cases of type II endoleak but not in endotension cases For anesthesiologist preoperative information of endoleak type by CTA provides an effective indication of intraoperative anesthetic management including preoperative blood preparation in aneurysmorrhaphy 10