Anesthetic Management in Aort Valve Surgery with Infective Endocarditis Following Transcatheter Aortic Valve Implantation

Kesimci, Elvin; Gümüş, Tülin; Taştan, Serkan; But, Abdülkadir; Kanbak, Orhan

doi:10.5222/gkdad.2014.129

GKDA Derg

2014

DOI: 10.5222/gkdad.2014.129

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Anesthetic Management in Aort Valve Surgery with Infective Endocarditis Following Transcatheter Aortic Valve Implantation

Elvin Kesimci¹,

Tülin Gümüş²,

Serkan Taştan³

et al.

Abstract: ÖZET Giriş: Transkateter aort kapak implantasyonu (TAVI) belirgin ko-morbiditeler nedeniyle cerrahi riski olduk-

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2020

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Cited by 1 publication

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Infective endocarditis after TAVI: a meta-analysis and systematic review of epidemiology, risk factors and clinical consequences

Tinică¹,

Tarus²,

Enache³

et al. 2020

Rev. Cardiovasc. Med.

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Infective endocarditis (IE) represents one of the most challenging clinical entities, requiring a multidisciplinary approach. The increasing number of surgical and transcatheter heart valves replacements performed annually lead to a higher incidence of prosthetic valve endocarditis. Transcatheter aortic valve implantation (TAVI) brought a new alternative for the treatment of aortic stenosis and a new subgroup of IE with its features. We aimed to compare the incidence of IE in TAVI and surgical valve replacement (SAVR) to identify risk factors for TAVI-IE, evaluate the possible impact on mortality, and clarify the best treatment strategies. A digital scan in PubMed and SCOPUS databases was performed. 68 publications were selected to perform a meta-analysis and systematic review on epidemiology, risk factors, and mortality predictors in TAVI-IE. No significant difference in IE rate was noted between patients with TAVI and those with SAVR for in-hospital, early, mid-term and late IE. Male gender, intubation, new pacemaker implantation IE and CKD were correlated with TAVI-IE. Surgical treatment was performed in 22.3% of cases. Overall mortality for the pooled cohort was 38.3%. In a multivariate logistic regression model, surgical treatment and self-expandable device were linked to lower mortality in TAVI-IE. Even if the invasive procedure can trigger bacteremia, exposing the TAVI valve to future infection, no significant difference in IE rate was noted in our analysis between patients with TAVI and those with SAVR for in-hospital, early, mid-term and late IE. Surgical treatment of TAVI-IE can be a viable option in patients with a prohibitive risk score.

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Infective endocarditis after TAVI: a meta-analysis and systematic review of epidemiology, risk factors and clinical consequences

Tinică¹,

Tarus²,

Enache³

et al. 2020

Rev. Cardiovasc. Med.

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show abstract

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Anesthetic Management in Aort Valve Surgery with Infective Endocarditis Following Transcatheter Aortic Valve Implantation

Abstract: ÖZET Giriş: Transkateter aort kapak implantasyonu (TAVI) belirgin ko-morbiditeler nedeniyle cerrahi riski olduk-

Cited by 1 publication

References 15 publications

Infective endocarditis after TAVI: a meta-analysis and systematic review of epidemiology, risk factors and clinical consequences

Infective endocarditis after TAVI: a meta-analysis and systematic review of epidemiology, risk factors and clinical consequences

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