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Derycke L, De Roux Q, Mongardon N, Khaled A, Corniquet M, Desgranges P, Touma J. Hypnosis during Endovascular Abdominal Aortic Aneurysm Repair. J Clin Med 2024; 13:979. [PMID: 38398292 PMCID: PMC10889103 DOI: 10.3390/jcm13040979] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2023] [Revised: 02/03/2024] [Accepted: 02/06/2024] [Indexed: 02/25/2024] Open
Abstract
(1) Background: Endovascular abdominal aneurysm repair (EVAR) is associated with a reduction in early morbidity and mortality compared with open repair. Procedures performed under hypnosis might represent an alternative to further reduce the risks related to general anesthesia (GA). This study aimed to assess the feasibility and safety of hypnosis and local anesthesia during EVAR. (2) Methods: All consecutive patients who underwent EVAR or fenestrated/branched EVAR (f/bEVAR) under hypnosis and local anesthesia (n = 28) between 2017 and 2019 were retrospectively studied and matched to control patients who underwent the same interventions under GA. (3) Results: There was neither a significant difference in the length of ICU stay (p = 0.06), nor in the occurrence of endoleaks, reintervention, and 30-day mortality rate (p = 1.00, 0.73, and 0.24, respectively). The hypnosis group had lower use of norepinephrine (maximum dose 0.04 ± 0.1 vs. 1.2 ± 4.0 mg·h-1, p < 0.001), shorter procedure duration (181.2 ± 71.4 vs. 214.3 ± 79.6 h, p = 0.04), and shorter length of stay (5.4 ± 3.2 vs. 8.4 ± 5.9 days, p = 0.002). (4) Conclusions: In this pioneering study, hypnosis during EVAR appears feasible and safe. It is associated with lower intraoperative use of norepinephrine, as well as procedure duration and length of in-hospital stay.
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Affiliation(s)
- Lucie Derycke
- Service de Chirurgie Vasculaire, DMU CARE, Assistance Publique-Hôpitaux de Paris (AP-HP), Hôpitaux Universitaires Henri Mondor, F-94010 Créteil, France; (L.D.); (M.C.); (P.D.)
- Faculté de Santé, Université Paris Est Créteil, F-94010 Créteil, France; (Q.D.R.); (N.M.)
| | - Quentin De Roux
- Faculté de Santé, Université Paris Est Créteil, F-94010 Créteil, France; (Q.D.R.); (N.M.)
- Service d’Anesthésie-Réanimation Chirurgicale, DMU CARE, Assistance Publique-Hôpitaux de Paris (AP-HP), Hôpitaux Universitaires Henri Mondor, F-94010 Créteil, France;
- U955-IMRB, Equipe 03 “Pharmacologie et Technologies pour les Maladies Cardiovasculaires (PROTECT)”, Inserm, Université Paris Est Créteil (UPEC), Ecole Nationale Vétérinaire d’Alfort (EnVA), F-94700 Maisons-Alfort, France
| | - Nicolas Mongardon
- Faculté de Santé, Université Paris Est Créteil, F-94010 Créteil, France; (Q.D.R.); (N.M.)
- Service d’Anesthésie-Réanimation Chirurgicale, DMU CARE, Assistance Publique-Hôpitaux de Paris (AP-HP), Hôpitaux Universitaires Henri Mondor, F-94010 Créteil, France;
- U955-IMRB, Equipe 03 “Pharmacologie et Technologies pour les Maladies Cardiovasculaires (PROTECT)”, Inserm, Université Paris Est Créteil (UPEC), Ecole Nationale Vétérinaire d’Alfort (EnVA), F-94700 Maisons-Alfort, France
| | - Asmaa Khaled
- Service d’Anesthésie-Réanimation Chirurgicale, DMU CARE, Assistance Publique-Hôpitaux de Paris (AP-HP), Hôpitaux Universitaires Henri Mondor, F-94010 Créteil, France;
| | - Marie Corniquet
- Service de Chirurgie Vasculaire, DMU CARE, Assistance Publique-Hôpitaux de Paris (AP-HP), Hôpitaux Universitaires Henri Mondor, F-94010 Créteil, France; (L.D.); (M.C.); (P.D.)
| | - Pascal Desgranges
- Service de Chirurgie Vasculaire, DMU CARE, Assistance Publique-Hôpitaux de Paris (AP-HP), Hôpitaux Universitaires Henri Mondor, F-94010 Créteil, France; (L.D.); (M.C.); (P.D.)
- Faculté de Santé, Université Paris Est Créteil, F-94010 Créteil, France; (Q.D.R.); (N.M.)
| | - Joseph Touma
- Service de Chirurgie Vasculaire, DMU CARE, Assistance Publique-Hôpitaux de Paris (AP-HP), Hôpitaux Universitaires Henri Mondor, F-94010 Créteil, France; (L.D.); (M.C.); (P.D.)
- Faculté de Santé, Université Paris Est Créteil, F-94010 Créteil, France; (Q.D.R.); (N.M.)
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