Early Outcome in Patients Requiring Conversion to General Anesthesia During Transfemoral Transcatheter Aortic Valve Implantation.

Mayr, N Patrick; Pellegrini, Costanza; Rheude, Tobias; Trenkwalder, Teresa; Alvarez-Covarrubias, Hector A; Xhepa, Erion; van der Starre, Pieter; Wiesner, Gunther; Schunkert, Heribert; Tassani-Prell, Peter; Joner, Michael

doi:10.1016/j.amjcard.2020.04.024

2020

Back
Back to start of result list
Permanent link for displayed object

Title:: Early Outcome in Patients Requiring Conversion to General Anesthesia During Transfemoral Transcatheter Aortic Valve Implantation.
Document type:: Article; Journal Article
Author(s):: Mayr, N Patrick; Pellegrini, Costanza; Rheude, Tobias; Trenkwalder, Teresa; Alvarez-Covarrubias, Hector A; Xhepa, Erion; van der Starre, Pieter; Wiesner, Gunther; Schunkert, Heribert; Tassani-Prell, Peter; Joner, Michael
Abstract:: Transfemoral Transcatheter Aortic Valve Implantation (tf-TAVI) has become an established therapy-option for patients with symptomatic severe aortic stenosis. Conscious sedation (CS) has proven to be an alternative to general anesthesia . So far, the outcome of patients undergoing unplanned periprocedural conversion from CS to general anesthesia has not been investigated. All patients undergoing transfemoral transcatheter aortic valve implantation in CS between 2014 and 2019 were included. The primary end point was early safety at 30 days according to Valve Academic Research Consortium-2 criteria. The reasons for conversion and length of ICU-/ hospital stay were further analyzed. Of 1,058 included patients 35 (3.3%) required a conversion. The end point was documented in 13 (37%) of the converted and 110 (11%) of nonconverted patients (p < 0.001). The causes were: unrest in 11/35 patients, procedural complications in 10/35 patients, respiratory distress in 8/35, and cardiovascular decompensation in 6 patients (17.1%). Compared with the group without conversion (Median (interquartile range ), 4 [4-5] days), length of hospital stay was longest in the group with procedural complications (6 [1-11] days) followed by cardiovascular decompensation (5 [4-7] days). In conclusion, the conversion rate to general anesthesia was low in a large cohort of unselected transcatheter aortic valve implantation patients. Additionally, hospital stay was longer dependent on the reason for conversion.
Journal title abbreviation:: Am J Cardiol
Year:: 2020
Journal volume:: 127
Pages contribution:: 99-104
Fulltext / DOI:: doi:10.1016/j.amjcard.2020.04.024
Pubmed ID:: http://view.ncbi.nlm.nih.gov/pubmed/32386815
Print-ISSN:: 0002-9149
TUM Institution:: Fachgebiet Kardioanästhesie (Prof. Tassani-Prell); Klinik für Herz- und Kreislauferkrankungen im Erwachsenenalter (Prof. Schunkert)
BibTeX

Occurrences:

mediaTUM Gesamtbestand Einrichtungen Schools TUM School of Medicine and Health Departments Clinical Medicine Lehr- und Forschungskooperationen mit den Kliniken und Instituten am Deutschen Herzzentrum Institut für Anästhesiologie (DHM) (Prof. Tassani-Prell)Professur für Kardioanästhesie (Prof. Tassani-Prell)2020

mediaTUM Gesamtbestand Einrichtungen Schools TUM School of Medicine and Health Departments Clinical Medicine Lehr- und Forschungskooperationen mit den Kliniken und Instituten am Deutschen Herzzentrum Klinik für Herz- und Kreislauferkrankungen im Erwachsenenalter (DHM) (Prof. Schunkert)2020