Abstract
Objective: To compare monitored anesthesia care (MAC) and general anesthesia (GA) for transcatheter aortic valve implantation (TAVI). Design: Retrospective, case-control study. Setting: A large university-affiliated hospital system. Participants: The study comprised patients who underwent TAVI with the Medtronic CoreValve (Medtronic, Minneapolis, MN) between 2011 and 2015. Interventions: None. Measurements and Main Results: MAC (n = 44) and GA (n = 21) were compared in 65 patients who underwent TAVI. Baseline characteristics/demographics, hospital stay, intraoperative conditions, and intensive care unit (ICU)/hospital stays were compared using the chi-square test, unpaired t-test, or binomial regression where appropriate. There were no significant differences between patient populations with regard to 30-day mortality, ICU/hospital stay, and complication rates. The GA group used more blood product. The rate of ICU readmission was greater in the GA group but did not reach statistical significance. Conclusions: GA provides no significant advantages over MAC during TAVI.
| Original language | English (US) |
|---|---|
| Journal | Journal of Cardiothoracic and Vascular Anesthesia |
| DOIs | |
| State | Accepted/In press - 2016 |
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Keywords
- CoreValve
- delirium
- propofol
- transcatheter aortic valve implantation (TAVI)
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine
- Anesthesiology and Pain Medicine
Cite this
Monitored Anesthesia Care Versus General Anesthesia : Experience with the Medtronic CoreValve. / Palermo, Christopher; Degnan, Meredith; Candiotti, Keith A; Salerno, Tomas; De Marchena, Eduardo; Rodriguez, Yiliam.
In: Journal of Cardiothoracic and Vascular Anesthesia, 2016.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Monitored Anesthesia Care Versus General Anesthesia
T2 - Experience with the Medtronic CoreValve
AU - Palermo, Christopher
AU - Degnan, Meredith
AU - Candiotti, Keith A
AU - Salerno, Tomas
AU - De Marchena, Eduardo
AU - Rodriguez, Yiliam
PY - 2016
Y1 - 2016
N2 - Objective: To compare monitored anesthesia care (MAC) and general anesthesia (GA) for transcatheter aortic valve implantation (TAVI). Design: Retrospective, case-control study. Setting: A large university-affiliated hospital system. Participants: The study comprised patients who underwent TAVI with the Medtronic CoreValve (Medtronic, Minneapolis, MN) between 2011 and 2015. Interventions: None. Measurements and Main Results: MAC (n = 44) and GA (n = 21) were compared in 65 patients who underwent TAVI. Baseline characteristics/demographics, hospital stay, intraoperative conditions, and intensive care unit (ICU)/hospital stays were compared using the chi-square test, unpaired t-test, or binomial regression where appropriate. There were no significant differences between patient populations with regard to 30-day mortality, ICU/hospital stay, and complication rates. The GA group used more blood product. The rate of ICU readmission was greater in the GA group but did not reach statistical significance. Conclusions: GA provides no significant advantages over MAC during TAVI.
AB - Objective: To compare monitored anesthesia care (MAC) and general anesthesia (GA) for transcatheter aortic valve implantation (TAVI). Design: Retrospective, case-control study. Setting: A large university-affiliated hospital system. Participants: The study comprised patients who underwent TAVI with the Medtronic CoreValve (Medtronic, Minneapolis, MN) between 2011 and 2015. Interventions: None. Measurements and Main Results: MAC (n = 44) and GA (n = 21) were compared in 65 patients who underwent TAVI. Baseline characteristics/demographics, hospital stay, intraoperative conditions, and intensive care unit (ICU)/hospital stays were compared using the chi-square test, unpaired t-test, or binomial regression where appropriate. There were no significant differences between patient populations with regard to 30-day mortality, ICU/hospital stay, and complication rates. The GA group used more blood product. The rate of ICU readmission was greater in the GA group but did not reach statistical significance. Conclusions: GA provides no significant advantages over MAC during TAVI.
KW - CoreValve
KW - delirium
KW - propofol
KW - transcatheter aortic valve implantation (TAVI)
UR - http://www.scopus.com/inward/record.url?scp=84969509941&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84969509941&partnerID=8YFLogxK
U2 - 10.1053/j.jvca.2016.02.006
DO - 10.1053/j.jvca.2016.02.006
M3 - Article
C2 - 27222049
AN - SCOPUS:84969509941
JO - Journal of Cardiothoracic and Vascular Anesthesia
JF - Journal of Cardiothoracic and Vascular Anesthesia
SN - 1053-0770
ER -