Monitored Anesthesia Care Versus General Anesthesia: Experience With the Medtronic CoreValve

Palermo, Christopher; Degnan, Meredith; Candiotti, Keith A.; Salerno, Tomás A.; Marchena, Eduardo de; Rodriguez-Blanco, Yiliam F.

doi:10.1053/j.jvca.2016.02.006

Cited by 17 publications

(19 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…29 According to Palermo et al, increased blood loss in the GA group is considered secondary to the vasodilating effect of halogenic volatile anaesthetics. 35 In our meta-analysis, we confirmed the reduced need for red blood cell transfusions in the LAS group. However, many studies reported a shift from LAS to GA administration over the study period, thus the lower transfusion rates for LAS might also be due to the lower occurrence of intraprocedural complications in more experienced teams.…”

Section: Length Of Staysupporting

confidence: 72%

“…We reviewed 35 full-text articles and identified 20 articles for inclusion in our review (figure 1). [17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36] All the studies were observational studies except one RCT. 32 Table 1 shows the baseline clinical characteristics of the included studies.…”

Section: Study Selection and Eligibility Criteriamentioning

confidence: 99%

See 1 more Smart Citation

Is local anaesthesia a favourable approach for transcatheter aortic valve implantation? A systematic review and meta-analysis comparing local and general anaesthesia

et al. 2017

View full text Add to dashboard Cite

ObjectivesWe conducted a systematic review and meta-analysis to identify the potential favourable effects of local anaesthesia plus sedation (LAS) compared with general anaesthesia (GA) in transcatheter aortic valve implantation (TAVI).MethodsElectronic databases (PubMed/Medline, Embase, Cochrane Central Register of Controlled Trials) and the reference lists of eligible publications were screened for randomised controlled trials (RCTs) and observational studies published between 1 January 2006 and 26 June 2016 that compare LAS to GA in an adult study population undergoing TAVI. We conducted study quality assessments using the Cochrane risk of bias tool and structured the review according to PRISMA. A meta-analysis calculating the pooled risk ratios (RRs) and mean differences (MDs) with 95% confidence intervals (CIs) under the assumption of a random-effects model was performed. Statistical heterogeneity was evaluated using the I² statistic and Cochran’s Q-test.ResultsAfter database screening, one RCT and 19 observational studies were included in the review. We found no differences between LAS and GA in terms of 30-day mortality, in-hospital mortality and other endpoints that addressed safety and complication rates. LAS was associated with a shorter ICU and hospital stay and with lower rates of catecholamine administration and red blood cell transfusion. New pacemaker implantations occurred more frequently under LAS. The overall conversion rate from LAS to GA was 6.2%.ConclusionFor TAVI, both LAS and GA are feasible and safe. LAS may have some benefits such as increased haemodynamic stability and shorter hospital and ICU stays, but it does not impact 30-day mortality. Since there is a paucity of randomised trial data and the findings are mainly based on observational study data, this review should be considered as a hypothesis-generating article for subsequent RCTs that are required to confirm the potential favourable effects we detected for LAS.Registration numberCRD42016048398 (PROSPERO).

show abstract

Section: Length Of Staysupporting

confidence: 72%

Section: Study Selection and Eligibility Criteriamentioning

confidence: 99%

Is local anaesthesia a favourable approach for transcatheter aortic valve implantation? A systematic review and meta-analysis comparing local and general anaesthesia

et al. 2017

View full text Add to dashboard Cite

show abstract

“…After removing duplicates and articles not meeting inclusion criteria, we screened 213 titles. Finally, 26 studies satisfied the inclusion criteria, all of which were published in English . All studies were observational except for one randomized controlled trial .…”

Section: Resultsmentioning

confidence: 99%

Comparison of local versus general anesthesia in patients undergoing transcatheter aortic valve replacement: A meta‐analysis

Villablanca

Mohananey

Nikolić

et al. 2017

Cathet Cardio Intervent

109

View full text Add to dashboard Cite

show abstract

“…These important anesthetic considerations will be explored further through dedicated articles in the Journal. 46 The process of innovation continues in the transcatheter heart valve program at Penn. The Penn TAVR team has embraced embolic filter protection as a possible intervention to reduce the stroke risk associated with TAVR.…”

Section: The Maturation Of Tavr At Pennmentioning

confidence: 99%

Anesthetic Evolution in Transcatheter Aortic Valve Replacement: Expert Perspectives From High-Volume Academic Centers in Europe and the United States

Patel

Ackermann

Augoustides

et al. 2017

Journal of Cardiothoracic and Vascular Anesthesia

View full text Add to dashboard Cite

Monitored Anesthesia Care Versus General Anesthesia: Experience With the Medtronic CoreValve

Cited by 17 publications

References 21 publications

Is local anaesthesia a favourable approach for transcatheter aortic valve implantation? A systematic review and meta-analysis comparing local and general anaesthesia

Is local anaesthesia a favourable approach for transcatheter aortic valve implantation? A systematic review and meta-analysis comparing local and general anaesthesia

Comparison of local versus general anesthesia in patients undergoing transcatheter aortic valve replacement: A meta‐analysis

Anesthetic Evolution in Transcatheter Aortic Valve Replacement: Expert Perspectives From High-Volume Academic Centers in Europe and the United States

Contact Info

Product

Resources

About