The purpose of this study was to assess outcomes after spinal vs general anesthesia in patients undergoing thoracic endograft placement and to evaluate concurrent use of spinal anesthesia in patients undergoing spinal drain placement.

A single-center, retrospective review of 321 patients who underwent thoracic endograft placement from 2001 to 2019 was performed. Outcome variables included 30-day mortality and length of stay. Data were analyzed by Student t-test, χ2 test, and multivariate logistic regression analysis.

A total of 321 patients underwent thoracic endograft placement; 111 of these patients had spinal anesthesia, 210 patients had general anesthesia, and 21 patients received spinal anesthesia and a spinal drain. Of the total patients, 11.5% underwent thoracic endograft placement for rupture, 16.8% for type B aortic dissection, 3.4% for type A aortic dissection (with residual type B dissection), and 14.3% for penetrating ulcer. The mean age of the population was 68 years; patients undergoing spinal anesthesia were older with a mean age.

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