SavedAdd your journal

Journals / Göğüs Kalp Damar Anestezi ve Yoğun Bakım Derneği Dergisi / 2019 / Cilt: 25 - Sayı: 1

General Anesthesia Versus Local Anesthesia Plus Sedation in High Risk Patients Underwent Transcatheter Aortic Valve Implantation (TAVI): A Retrospective Cohort Study

Transkateter Aort Kapak İmplantasyonu (TAVİ) Uygulanan Yüksek Riskli Hastalarda Genel Anestezi ile Lokal Anesteziye Eşlik Eden Sedasyon Uygulamasının Karşılaştırılması: Retrospektif Kohort Çalışma

Ahmet Selim ÖZKAN
Sedat AKBAŞ
Pages
43–51
Publication Date
2022-10-18
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Total colloidconsumption was significantly higher in GA group (p

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objective: Transcatheter Aortic Valve Implantation (TAVI) poses significant challenges concerning anesthesiamanagement.
📊
Key Findings & Data:The aim of this retrospective cohort study was therefore to describe the pre- andperioperative issues related to anesthesia and to compare the outcomes of high-risk patients treated withgeneral anesthesia (GA) versus local anesthesia plus sedation (LAPS) during TAVI procedures.Method: We conducted a study with 49 patients who underwent TAVI under general anesthesia or localanesthesia plus sedation.
💡
Conclusion & Impact:Total colloidconsumption was significantly higher in GA group (p
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objective: Transcatheter Aortic Valve Implantation (TAVI) poses significant challenges concerning anesthesiamanagement. There is no current consensus on the type of safer anesthesia for high-risk patients undergoingTAVI procedures. The aim of this retrospective cohort study was therefore to describe the pre- andperioperative issues related to anesthesia and to compare the outcomes of high-risk patients treated withgeneral anesthesia (GA) versus local anesthesia plus sedation (LAPS) during TAVI procedures.Method: We conducted a study with 49 patients who underwent TAVI under general anesthesia or localanesthesia plus sedation. Patients were retrospectively allocated to two cohort-study groups: GA (n=23) andLAPS (n=26). Demographic characteristics and procedural data were recorded at important time points.Results: The two groups were similar with respect to demographic characteristics. Total colloidconsumption was significantly higher in GA group (p

Özet

Amaç: Transkateter Aort Kapak İmplantasyonu (TAVİ), anestezi yönetimi konusunda önemli zorluklar doğurmaktadır. Yüksek riskli TAVI işlemi için hangi tip anestezinin daha güvenli olduğu konusunda gün- cel bir görüş birliği yoktur. Bu retrospektif kohort çalışmanın amacı, anestezi ile ilişkili pre- ve periopera- tif sorunları tanımlamak ve TAVI işlemleri sırasında genel anestezi (GA) ve lokal anestezik ile sedasyon (LAPS) ile tedavi edilen yüksek riskli hastaların sonuçlarını karşılaştırmaktır. Yöntem: Bu çalışma, genel anestezi veya lokal anestezi ile sedasyon altında TAVİ uygulanan 49 hasta üzerinde gerçekleştirildi. Hastalar retrospektif olarak iki kohort çalışma grubuna ayrıldı: Genel Anestezi (GA, n=23) ve Lokal Anestezi ile Sedasyon (LAPS, n=26). Demografik özellikler ve işlem verileri önemli zaman noktalarında kaydedildi. Bulgular: İki grup demografik özellikler açısından birbirine benzerdi. Total kolloid tüketimi GA grubunda anlamlı derecede daha yüksekti (p

🔖

Cite This Article

ÖZKAN, A. S., AKBAŞ, S. (2022). General Anesthesia Versus Local Anesthesia Plus Sedation in High Risk Patients Underwent Transcatheter Aortic Valve Implantation (TAVI): A Retrospective Cohort Study. Göğüs Kalp Damar Anestezi ve Yoğun Bakım Derneği Dergisi, Cilt: 25 - Sayı: 1, 43–51. https://ajindex.com/articles/525992

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (11)

  1. Guinot PG, Depoix JP, Etchegoyen L, et al. Anesthesia and perioperative management of patients undergoing transcatheter aortic valve implantation: analysis of 90 consecutive patients with focus on perioperative complications. J Cardiothorac Vasc Anesth. 2010;24(5): 752-61.
  2. Rex S. Anesthesia for transcatheter aortic valve implantation: an update. Curr Opin Anaesthesiol. 2013;26(4): 456-66.
  3. Iung B, Baron G, Butchart EG, et al. A prospective survey of patients with valvular heart disease in Europe: the Euro Heart Survey on Valvular Heart Disease. Eur Heart J. 24:1231–1243.
  4. Leon MB, Smith CR, Mack M, et al. Transcatheter aortic-valve implantation for aortic stenosis in patients who cannot undergo surgery. N Engl J Med. 2010 21;363(17):1597-607
  5. Guarracino F, Covello RD, Landoni G, et al. Anesthetic management of transcatheter aortic valve implantation with transaxillary approach. J Cardiothorac Vasc Anesth. 2011;25(3):437-43.
  6. Ruggeri L, Gerli C, Franco A, et al. Anesthetic management for percutaneous aortic valve implantation: an overview of worldwide experiences. HSR Proc Intensive Care Cardiovasc Anesth. 2012;4(1):40-6
  7. Dall’Ara G, Eltchaninoff H, Moat N, et al. Local and general anaesthesia do not influence outcome of transfemoral aortic valve implantation. Int J Cardiol. 2014 15;177(2):448-54
  8. Covello RD, Maj G, Landoni G, et al. Anesthetic management of percutaneous aortic valve implantation: focus on challenges encountered, proposed solutions. J Cardiothorac Vasc Anesth. 2009;23:280-5.
  9. Schulz KF, Altman DG, Moher D; CONSORT Group. CONSORT 2010 statement: updated guidelines for reporting parallel group randomised trials. Int J Surg. 2011;9(8):672-7.
  10. Vahanian A, Alfieri O, Al-Attar N, et al. Transcatheter valve implantation for patients with aortic stenosis: a position statement from the European association of cardio-thoracic surgery (EACTS) and the European Society of Cardiology (ESC), in collaboration with the European Association of Percutaneous Cardiovascular Interventions (EAPCI). EuroIntervention. 2008 Aug;4(2): 193-9.
  11. Nashef SA, Roques F, Michel P, et al. European system for cardiac operative risk evaluation (EuroSCORE).