Endovascular Repair of the Abdominal

Since the early 1 990s, endovascular surgery has provided an-other treatment option for the management of abdominal aortic aneurysms. Its shorter postoperative recovery time, absence of an abdominal incision, and avoidance of aortic cross-clamp-ing gives endovascular abdominal aortic aneurysm repair its ap-peal. New vascular grafts are being developed that may ex-pand the number of eligible candidates. This less-invasive form of abdominal aortic aneurysm repair still provides the anesthesiologist with several challenges. The procedure has been performed under general anesthesia, regional anesthe-sia, and local anesthesia with monitored anesthesia care. The potential benefits of one anesthetic type over another for en-dovascular abdominal aortic aneurysm repair have not yet been fully explored. Several intraoperative complications, in-cluding acute aortic rupture and misdeployment of the sten