151. Comparison of general anaesthesia and non-general anaesthesia approach in transfemoral transcatheter aortic valve implantation
- Author
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Emma Alcock, David Hildick-Smith, Philip MacCarthy, Olaf Wendler, Mehdi Eskandari, Peter Ludman, Mark J. Monaghan, Rafal Dworakowski, Jonathan Byrne, and Omar Aldalati
- Subjects
Medtronic corevalve ,Male ,medicine.medical_specialty ,Comparative Effectiveness Research ,Transcatheter aortic ,medicine.medical_treatment ,Operative Time ,Conscious Sedation ,030204 cardiovascular system & hematology ,Anesthesia, General ,Transoesophageal echocardiography ,Prosthesis ,Transcatheter Aortic Valve Replacement ,03 medical and health sciences ,0302 clinical medicine ,Postoperative Complications ,medicine ,Humans ,General anaesthesia ,030212 general & internal medicine ,Registries ,Mortality ,Aged ,Aged, 80 and over ,business.industry ,Aortic Valve Stenosis ,Length of Stay ,United Kingdom ,Surgery ,Outcome and Process Assessment, Health Care ,Procedure Duration ,Female ,Cardiology and Cardiovascular Medicine ,business ,Echocardiography, Transesophageal ,Edwards sapien - Abstract
ObjectivePerforming transfemoral transcatheter aortic valve implantation (TAVI) without general anaesthesia (GA) has been increasingly adopted. We sought to study the impact of GA and non-GA approaches on procedural outcome and 30-day and 1-year mortality in transfemoral TAVI.MethodsThe UK TAVI registry holds information for every TAVI procedure in the UK. We analysed the data for patients implanted during 2013–2014 using either an Edwards Sapien or a Medtronic CoreValve prosthesis. Propensity score-matching analysis was performed to adjust for confounding factors.Results2243 patients were studied (aged 81.4±7.5 years, 1195 males). 1816 (81%) underwent TAVI with GA and 427 (19%) without GA. Transoesophageal echocardiography (TOE) was used in 92.3% of GA and 12.4% of non-GA cases (pConclusionProcedure outcome, and 30-day and 1-year mortality are not influenced by mode of anaesthesia. However, GA is associated with longer procedure duration and greater length of stay. more...
- Published
- 2017