We present the anesthetic combined spinal-epidural management of two patients undergoing endovascular abdominal aorta aneurysm stent-graft procedure. Due to many concomitant diseases: high blood pressure, chronic pulmonary obstructive disease, diabetes and obesity both patients were of high anesthesia risk. With no need for abdominal surgical opening, anesthetic muscles relaxation and intraoperative ventilatory support, CSEB was a method of choice. Additionally it provided sufficient intraoperative and postoperative analgesia with a possibility of anesthesia prolongation when needed and decreased the overall risk of intraoperative and postoperative cardiac and respiratory complication.
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