Analysis of endovascular graft exclusion undergoing combined spinal-epidural anesthesia with controlled hypotension.

Objective To approach the feasibility of combined spinal-epidural anesthesia(CSEA) with controlled hypotension adopted in endovascular graft exclusion(EVGE).Methods70 cases of Stanford B typed dissecting aneurysm undergoing CSEA were analyzed retrospectively.ResultsOperations were completed successfully under CSEA.All the patients survived except one patient(died of aneurysm rupture in ICU).The blood pressure was controlled smoothly,no serious cardiac arrhythmias was observed,and no anesthetic accident happened.There was no epidural hematoma and the other complications of epidural anesthesia after operations.ConclusionCSEA is safe and feasible in EVGE when the blocked-limit and blood pressure were controlled carefully.