Hypnosis during Endovascular Abdominal Aortic Aneurysm Repair
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Design
2.2. Intraoperative Features
2.3. Baseline Characteristics, Follow-Up, and Endpoints
2.4. Statistical Analysis
3. Results
EVAR Characteristics and Outcomes
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Variable | EVAR Group | p Value | |
Hypnosis (n = 20) | GA (n = 29) | ||
Age | 70.2 ± 10.5 | 74.9 ± 8.1 | 0.06 |
Male | 20 (100) | 26 (89.7) | 0.38 |
ASA = 3 or 4 | 14 (65) | 19 (66) | 0.67 |
Diabetes | 5 (25) | 3 (10.3) | 0.33 |
Chronic kidney disease | 4 (20) | 5 (17.2) | 0.99 |
Coronaropathy | 7 (35) | 13 (44.8) | 0.69 |
Hypertension | 17 (85) | 21 (72.4) | 0.49 |
History of stroke | 1 (5) | 2 (6.9) | 0.99 |
BMI (kg/m2) | 26.8 ± 2.7 | 26.4 ± 3.8 | 0.47 |
Smoker | 5 (25) | 12 (41.4) | 0.38 |
Symptomatic aneurysm | 1 (5) | 2 (6.9) | 0.99 |
f/bEVAR Group | |||
Hypnosis (n = 8) | GA (n = 14) | ||
Age (yo) | 72.6 ± 9.6 | 75.2 ± 11.4 | 0.71 |
Male | 8 (100) | 12 (85.7) | 0.73 |
ASA = 3 or 4 | 6 (75) | 10 (71) | 0.59 |
Diabetes | 0 (0) | 1 (7.1) | 0.99 |
Chronic kidney disease | 0 (0) | 2 (14.3) | 0.73 |
Coronaropathy | 3 (37.5) | 7 (50) | 0.90 |
Hypertension | 8 (100) | 8 (100) | 0.20 |
History of stroke | 1 (12.5) | 2 (14.3) | 0.99 |
BMI (kg/m2) | 26.5 ± 3.6 | 26.4 ± 4.2 | 0.78 |
Smoker | 4 (50) | 2 (14.3) | 0.19 |
Symptomatic aneurysm | 0 (0) | 0 (0) | 0.20 |
Variable | Hypnosis (n = 28) | GA (n = 43) | p Value |
---|---|---|---|
Percutaneous access | 21 (75) | 20 (46.5) | 0.03 |
Procedure duration (min) | 181.2 ± 71.4 | 214.3 ± 79.6 | 0.04 |
In-hospital length of stay (day) | 5.4 ± 3.2 | 8.4 ± 5.9 | 0.002 |
ICU length of stay (day) | 0.1 ± 0.8 | 0.7 ± 1.7 | 0.06 |
PACU length of stay (h) | 9.0 ± 6.4 | 9.1 ± 6.0 | 0.95 |
Red blood cell transfusion (units) | 0.3 ± 0.8 | 0.8 ± 1.9 | 0.32 |
Maximum norepinephrine use (mg/h) | 0.04 ± 0.1 | 1.2 ± 4.0 | <0.001 |
Intraoperative complication | 2 (7.1) | 6 (14.0) | 0.61 |
Type I endoleak | 2 (7.1) | 2 (4.7) | 0.99 |
Early reintervention | 3 (10.7) | 7 (16.3) | 0.73 |
Late reintervention | 0 (0) | 2 (4.7) | 0.52 |
30-day mortality | 0 (0) | 3 (7.0) | 0.24 |
Outcome | Hypnosis (n = 28) | GA (n = 43) | Total | p Value |
---|---|---|---|---|
Failure of sheath navigation | 1 | 0 | 1 | 0.83 |
Partial coverage of renal artery | 1 | 2 | 3 | 0.99 |
Endograft eg thrombosis | 0 | 1 | 1 | 0.99 |
Failure of target artery catheterization | 0 | 1 | 1 | 0.99 |
Target artery thrombosis | 0 | 1 | 1 | 0.99 |
Iliac rupture | 0 | 1 | 1 | 0.99 |
Total | 2 (7.1) | 6 (14) | 8 (11.3) | 0.62 |
Cause | Hypnosis (n = 28) | GA (n = 43) | Total | p Value |
---|---|---|---|---|
Stentgraft kink | 1 | 0 | 1 | 0.83 |
Type I endoleak | 2 | 2 | 4 | 0.99 |
Acute peripheral ischemia | 0 | 1 | 1 | 0.99 |
Endograft leg thrombosis | 0 | 2 | 2 | 0.67 |
Femoral false aneurysm | 0 | 1 | 1 | 0.99 |
Severe postoperative ischemia colitis | 0 | 1 | 1 | 0.99 |
Total | 3 (10.7) | 7 (16.3) | 10 (14.1) | 0.73 |
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Derycke, L.; De Roux, Q.; Mongardon, N.; Khaled, A.; Corniquet, M.; Desgranges, P.; Touma, J.; for the SOS Aorte Paris Est Group. Hypnosis during Endovascular Abdominal Aortic Aneurysm Repair. J. Clin. Med. 2024, 13, 979. https://doi.org/10.3390/jcm13040979
Derycke L, De Roux Q, Mongardon N, Khaled A, Corniquet M, Desgranges P, Touma J, for the SOS Aorte Paris Est Group. Hypnosis during Endovascular Abdominal Aortic Aneurysm Repair. Journal of Clinical Medicine. 2024; 13(4):979. https://doi.org/10.3390/jcm13040979
Chicago/Turabian StyleDerycke, Lucie, Quentin De Roux, Nicolas Mongardon, Asmaa Khaled, Marie Corniquet, Pascal Desgranges, Joseph Touma, and for the SOS Aorte Paris Est Group. 2024. "Hypnosis during Endovascular Abdominal Aortic Aneurysm Repair" Journal of Clinical Medicine 13, no. 4: 979. https://doi.org/10.3390/jcm13040979