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

Christopher Palermo, Meredith Degnan, Keith A Candiotti, Tomas Salerno, Eduardo De Marchena, Yiliam Rodriguez

Research output: Contribution to journalArticle

6 Citations (Scopus)

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 languageEnglish (US)
JournalJournal of Cardiothoracic and Vascular Anesthesia
DOIs
StateAccepted/In press - 2016

Fingerprint

General Anesthesia
Anesthesia
Intensive Care Units
Length of Stay
Intraoperative Care
Chi-Square Distribution
Case-Control Studies
Demography
Mortality
Transcatheter Aortic Valve Replacement
Population

Keywords

  • CoreValve
  • delirium
  • propofol
  • transcatheter aortic valve implantation (TAVI)

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Anesthesiology and Pain Medicine

Cite this

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title = "Monitored Anesthesia Care Versus General Anesthesia: Experience with the Medtronic CoreValve",
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.",
keywords = "CoreValve, delirium, propofol, transcatheter aortic valve implantation (TAVI)",
author = "Christopher Palermo and Meredith Degnan and Candiotti, {Keith A} and Tomas Salerno and {De Marchena}, Eduardo and Yiliam Rodriguez",
year = "2016",
doi = "10.1053/j.jvca.2016.02.006",
language = "English (US)",
journal = "Journal of Cardiothoracic and Vascular Anesthesia",
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publisher = "W.B. Saunders Ltd",

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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)

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