ISSN 1016-5169 | E-ISSN 1308-4488
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The Effect of Anesthesia Type Applied in Transcatheter Aortic Valve Implantation [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2023; 51(6): 394-398 | DOI: 10.5543/tkda.2023.38920

The Effect of Anesthesia Type Applied in Transcatheter Aortic Valve Implantation

Şahin Yılmaz1, Gönül Zeren2, İlhan İlker Avcı2, Mustafa Azmi Sungur2, Fatma Can2, Mehmet Fatih Yılmaz2, Barış Şimşek2, Ozan Tezen2, Can Yücel Karabay2
1Department of Anesthesiology, Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul, Türkiye
2Department of Cardiology, Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul, Türkiye


OBJECTIVE
Different results have been obtained in studies on the effect of anesthesia type applied during transcatheter aortic valve implantation on in-hospital outcomes. In this study, we aimed to investigate the association of the type of anesthesia with the lenght of stay in the intensive care unit and the need for inotropes in patients undergoing transcatheter aortic valve implantation.


METHODS
A total of 140 patients who underwent transcatheter aortic valve implantation between January 2016 and January 2022 were retrospectively analyzed. The patients were divided into 2 groups as deep sedation and general anesthesia according to the type of anesthesia.


RESULTS
The mean age of all patients was 78.5 ± 8.6 years, and 69 of the patients (49.3%) were female. Length of stay in intensive care unit, midazolam dosage, use of inotropic agents, and procedural hypotension were significantly lower in the deep sedation group than in the general anesthesia group [(1[1-2] vs. 1[1-2.5] days, P = 0.03), (2.1 ± 0.4 mg/kg vs. 2.3 ± 05, P = 0.02), (39 (37.9%) vs. 22 (59.5%), P = 0.02), (41 (39.8%) vs. 25 (67.6%), P = 0.004)]. General anesthesia was associated with increased use of inotropic agents during transcatheter aortic valve implantation compared to deep sedation (odds ratio = 2.93 95% CI = 1.18-7.30, P = 0.02).


CONCLUSION
The use of inotropes is less in transcatheter aortic valve implantation procedures performed under deep sedation and length of stay in intensive care unit is shorter.

Keywords: Deep sedation, general anesthesia, inotrope requirement, intensive care stay, trans-catheter aortic valve implantation

How to cite this article
Şahin Yılmaz, Gönül Zeren, İlhan İlker Avcı, Mustafa Azmi Sungur, Fatma Can, Mehmet Fatih Yılmaz, Barış Şimşek, Ozan Tezen, Can Yücel Karabay. The Effect of Anesthesia Type Applied in Transcatheter Aortic Valve Implantation. Turk Kardiyol Dern Ars. 2023; 51(6): 394-398

Corresponding Author: Gönül Zeren, Türkiye
Manuscript Language: English


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Journal Citation Indicator: 0.18
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SCImago Journal Rank: 0.348

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