Cardiothoracic & vascular anesthesia
Anesthesia Management for the Personalized External Aortic Root Support (PEARS) Procedure: A Single-Center Experience
Authors' conclusion
The PEARS procedure appears to be a viable alternative for preventive replacement of the aorta in selected patients with aortic aneurysms. Anesthesia is safe; in particular, profound deliberate hypotension can be used without relevant complications using multimodal monitoring, with electroencephalographic burst suppression as the guiding factor for cerebral perfusion.
Study context
- Population
- Patients undergoing the PEARS procedure for aortic aneurysm, tertiary academic hospital, The Netherlands, 2018–2023
- Participants
- 73 patients
- Outcome
- Anaesthesia management and outcomes of the isolated PEARS procedure
Methodological detailssingle-centre, All procedures performed by a single surgeon
- Single-centre
- All procedures performed by a single surgeon
Main finding
As reported in the abstract
Conversion to CPB
5
In-hospital deaths, MI, stroke, major bleeding, reoperation, prosthesis infection, postoperative delirium
0
Mean ICU LOS (days)
1.3
Mean hospital LOS (days)
7.6
Observational data: associations, not effects.
Further findings
Patient characteristics
- Male, n (%)
- 56 (72.2%)
- Mean age (years)
- 38 ± 15.7
In-hospital death, MI, stroke, major bleeding, reoperation for any cause, prosthesis infection, postoperative delirium
- None occurred
- 0
Safety
- Postoperative AF, patients (%)
- 11 (15.1%)
Original publication
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