Our Anesthetic Experiences in Patients Undergoing Transcatheter Aortic Valve Implantation by Local Anesthesia and Sedation

Çiftçi, Ali; Kesimci, Elvin; Gümüş, Tülin; Erkılıç, Ezgi; Kurtulgu, Nese; Ozcan, Ayca Dumanli; Kanbak, Orhan

doi:10.5222/gkdad.2014.202

Cited by 2 publications

(3 citation statements)

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“…Using local anaesthetics with sedation is a more popular modality than GA with endotracheal intubation due to the advantages of sedation. 1,2,[5][6][7] In our study, sedation was more preferred than GA during TAVI procedures in accordance with the literature. The use of GA was reduced over time due to the increasing experience of the team in our unit, as described in the literature.…”

Section: Discussionsupporting

confidence: 81%

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Evaluation of Anaesthetic Approaches in Transcatheter Aortic Valv Implantation Procedures

İzgi,

Halis,

Şener

et al. 2023

TJAR

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Main Points• Evaluation of perioperative anaesthetic experience with patients undergoing transcatheter aortic valv implantation (TAVI) under sedation or general anaesthesia (GA) is aimed.• Using local anaesthetics with sedation is a more popular modality than GA with endotracheal intubation due to the advantages of sedation.• Acute kidney injury is a frequent complication after TAVI.• Local anaesthesia with sedation can be safely performed during transfemoral TAVI procedures.

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Section: Discussionsupporting

confidence: 81%

“…The main limitations of sedation are the invasiveness of the procedure and the difficulty of obtaining stable hemodynamics. 1,2 We aimed to evaluate our perioperative anaesthetic experience with patients undergoing TAVI under sedation or GA.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Anaesthetic Approaches in Transcatheter Aortic Valv Implantation Procedures

İzgi,

Halis,

Şener

et al. 2023

TJAR

View full text Add to dashboard Cite

show abstract

“…Although many studies have demonstrated the effectiveness of TAVI in AS, there is no consensus on the most appropriate type of anesthesia to support TAVI [7]. While TAVI was originally performed under general anesthesia (GA), technological advances in catheters and other devices, and the increasing experience of anesthesiologists and surgeons, allowed TAVI to be performed under sedationlocal anesthesia (S-LA) [8,9]. In our study, we aimed to investigate retrospectively the application examines the success of two different anesthetic methods, their impact on complications, and 1-, 3-, and 6-month mortality rates in patients undergoing TAVI.…”

Section: Introductionmentioning

confidence: 99%

The effect of anesthesia management on mortality and morbidity in patients who underwent transcatheter aortic valve implantation

et al. 2022

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Objectives: We aimed at investigating the effects of two different anesthesia techniques in our patients who underwent transcatheter aortic valve implantation (TAVI).Material and methods: The effects of two different anesthetic methods were retrospectively evaluated in 100 patients who underwent TAVI between January 2010 and October 2020. Patients were divided into a general anesthesia (GA) group and a sedation-local anesthesia (S-LA) group according to the anesthetic methods used.Results: Of 100 patients who underwent transcatheter aortic valve implantation, 20 (20%) received GA, and 80 (80%) received S-LA. The mean ages of the patient groups undergoing GA and S-LA were 76.20±7.22 and 75±8.44 years, respectively. The duration of the procedure and anesthesia was significantly longer in the GA patient group than in the S-LA patient group. With the exception of the logistic European Society of Cardiac Operative Risk Assessment, the demographic and preoperative data of the two groups were similar. The most common comorbidity in both groups was hypertension. When comparing complications between groups, the incidence of intraoperative hemodynamic instability, ephedrine use, inotropic drug use, intra-aortic balloon pump placement, postoperative infection and cardiac tamponade was significantly higher in the GA group. The length of intensive care and hospital stay was similar between the groups, but the 30-day and 3-month mortality rates were significantly higher in the GA group than in the S-LA group.Conclusion: S-LA provided more stable hemodynamics, shorter operative and anesthetic times, fewer intraoperative and postoperative complications, and reduced mortality. S-LA application during the TAVI procedure is a more reliable alternative to GA.

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Our Anesthetic Experiences in Patients Undergoing Transcatheter Aortic Valve Implantation by Local Anesthesia and Sedation

Cited by 2 publications

References 0 publications

Evaluation of Anaesthetic Approaches in Transcatheter Aortic Valv Implantation Procedures

Evaluation of Anaesthetic Approaches in Transcatheter Aortic Valv Implantation Procedures

The effect of anesthesia management on mortality and morbidity in patients who underwent transcatheter aortic valve implantation

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