Local and general anaesthesia do not influence outcome of
transfemoral aortic valve implantation

J 2014

Local and general anaesthesia do not influence outcome of transfemoral aortic valve implantation

DALL´ARA, Gianni; Helene ELTCHANINOFF; Neil MOAT; Cécile LAROCHE; Javier GOICOLEA et al.

Základní údaje

Originální název

Local and general anaesthesia do not influence outcome of transfemoral aortic valve implantation

Autoři

Vydání

International Journal of Cardiology, Clare, Elsevier Ireland Ltd. 2014, 0167-5273

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30201 Cardiac and Cardiovascular systems

Stát vydavatele

Irsko

Utajení

není předmětem státního či obchodního tajemství

Impakt faktor

Impact factor: 4.036

Označené pro přenos do RIV

Ano

Kód RIV

RIV/00216224:14110/14:00078391

Organizační jednotka

Lékařská fakulta

Klíčová slova anglicky

Anaesthesia; Transcatheter aortic valve implantation; Aortic valve stenosis; Outcome

Štítky

EL OK

Příznaky

Mezinárodní význam, Recenzováno

Změněno: 16. 1. 2015 10:17, Soňa Böhmová

Anotace

V originále

Background: There is great variability for the type of anaesthesia used during TAVI, with no clear consensus coming from comparative studies or guidelines. We sought to detect regional differences in the anaesthetic management of patients undergoing transcatheter aortic valve implantation (TAVI) in Europe and to evaluate the relationship between type of anaesthesia and in-hospital and 1 year outcome. Methods: Between January 2011 and May 2012 the Sentinel European TAVI Pilot Registry enrolled 2807 patients treated via a transfemoral approach using either local (LA-group, 1095 patients, 39%) or general anaesthesia (GA-group, 1712 patients, 61%). Results: A wide variation in LA use was evident amongst the 10 participating countries. The use of LA has increased over time (from a mean of 37.5% of procedures in the first year, to 57% in last 6 months, p < 0.01). MI, major stroke aswell as in-hospital death rate (7.0% LAvs 5.3% GA, p = 0.053) had a similar incidence between groups, confirmed in multivariate regression analysis after adjusting for confounders. Dividing our population in tertiles according to the Log-EuroSCORE we found similar mortality under LA, whilst mortality was higher in the highest risk tertile under GA. Survival at 1 year, compared by Kaplan-Meier analysis, was similar between groups (log-rank: p = 0.1505). Conclusions: Selection of anaesthesia appears to be more influenced by national practice and operator preference than patient characteristics. In the absence of an observed difference in outcomes for either approach, there is no compelling argument to suggest that operators and centres should change their anaesthetic practice.

Citovat

DALL´ARA, Gianni; Helene ELTCHANINOFF; Neil MOAT; Cécile LAROCHE; Javier GOICOLEA; Gian Paolo USSIA; Petr KALA; Peter WENAWESER; Marian ZEMBALA; Georg NICKENIG; Thomas SNOW; Susanna PRICE; Eduardo Alegria BARRERO; Rodrigo ESTEVEZ-LOUREIRO; Bernard IUNG; José Luis ZAMORANO; Gerhard SCHULER; Ottavio ALFIERI; Bernard PRENDERGAST; Peter LUDMAN; Stephan WINDECKER; Manel SABATE; Martine GILARD; Adam WITKOWSKI; Haim DANENBERG; Erwin SCHROEDER; Francesco ROMEO; Carlos MACAYA; Genevieve DERUMEAUX; Alessio MATTESINI; Luigi TAVAZZI a Carlo DI MARIO. Local and general anaesthesia do not influence outcome of transfemoral aortic valve implantation. International Journal of Cardiology. Clare: Elsevier Ireland Ltd., 2014, roč. 177, č. 2, s. 448-454. ISSN 0167-5273. Dostupné z: https://doi.org/10.1016/j.ijcard.2014.09.025.

@article{1216758,
   author = {Dall´Ara, Gianni and Eltchaninoff, Helene and Moat, Neil and Laroche, Cécile and Goicolea, Javier and Ussia, Gian Paolo and Kala, Petr and Wenaweser, Peter and Zembala, Marian and Nickenig, Georg and Snow, Thomas and Price, Susanna and Barrero, Eduardo Alegria and EstevezandLoureiro, Rodrigo and Iung, Bernard and Zamorano, José Luis and Schuler, Gerhard and Alfieri, Ottavio and Prendergast, Bernard and Ludman, Peter and Windecker, Stephan and Sabate, Manel and Gilard, Martine and Witkowski, Adam and Danenberg, Haim and Schroeder, Erwin and Romeo, Francesco and Macaya, Carlos and Derumeaux, Genevieve and Mattesini, Alessio and Tavazzi, Luigi and Di Mario, Carlo},
   article_location = {Clare},
   article_number = {2},
   doi = {https://doi.org/10.1016/j.ijcard.2014.09.025},
   keywords = {Anaesthesia; Transcatheter aortic valve implantation; Aortic valve stenosis; Outcome},
   language = {eng},
   issn = {0167-5273},
   journal = {International Journal of Cardiology},
   title = {Local and general anaesthesia do not influence outcome of transfemoral aortic valve implantation},
   volume = {177},
   year = {2014}
}

TY  - JOUR
ID  - 1216758
AU  - Dall´Ara, Gianni - Eltchaninoff, Helene - Moat, Neil - Laroche, Cécile - Goicolea, Javier - Ussia, Gian Paolo - Kala, Petr - Wenaweser, Peter - Zembala, Marian - Nickenig, Georg - Snow, Thomas - Price, Susanna - Barrero, Eduardo Alegria - Estevez-Loureiro, Rodrigo - Iung, Bernard - Zamorano, José Luis - Schuler, Gerhard - Alfieri, Ottavio - Prendergast, Bernard - Ludman, Peter - Windecker, Stephan - Sabate, Manel - Gilard, Martine - Witkowski, Adam - Danenberg, Haim - Schroeder, Erwin - Romeo, Francesco - Macaya, Carlos - Derumeaux, Genevieve - Mattesini, Alessio - Tavazzi, Luigi - Di Mario, Carlo
PY  - 2014
TI  - Local and general anaesthesia do not influence outcome of transfemoral aortic valve implantation
JF  - International Journal of Cardiology
VL  - 177
IS  - 2
SP  - 448-454
EP  - 448-454
PB  - Elsevier Ireland Ltd.
SN  - 01675273
KW  - Anaesthesia
KW  - Transcatheter aortic valve implantation
KW  - Aortic valve stenosis
KW  - Outcome
N2  - Background: There is great variability for the type of anaesthesia used during TAVI, with no clear consensus coming from comparative studies or guidelines. We sought to detect regional differences in the anaesthetic management of patients undergoing transcatheter aortic valve implantation (TAVI) in Europe and to evaluate the relationship between type of anaesthesia and in-hospital and 1 year outcome. Methods: Between January 2011 and May 2012 the Sentinel European TAVI Pilot Registry enrolled 2807 patients treated via a transfemoral approach using either local (LA-group, 1095 patients, 39%) or general anaesthesia (GA-group, 1712 patients, 61%). Results: A wide variation in LA use was evident amongst the 10 participating countries. The use of LA has increased over time (from a mean of 37.5% of procedures in the first year, to 57% in last 6 months, p < 0.01). MI, major stroke aswell as in-hospital death rate (7.0% LAvs 5.3% GA, p = 0.053) had a similar incidence between groups, confirmed in multivariate regression analysis after adjusting for confounders. Dividing our population in tertiles according to the Log-EuroSCORE we found similar mortality under LA, whilst mortality was higher in the highest risk tertile under GA. Survival at 1 year, compared by Kaplan-Meier analysis, was similar between groups (log-rank: p = 0.1505). Conclusions: Selection of anaesthesia appears to be more influenced by national practice and operator preference than patient characteristics. In the absence of an observed difference in outcomes for either approach, there is no compelling argument to suggest that operators and centres should change their anaesthetic practice.
ER  -

DALL´ARA, Gianni; Helene ELTCHANINOFF; Neil MOAT; Cécile LAROCHE; Javier GOICOLEA; Gian Paolo USSIA; Petr KALA; Peter WENAWESER; Marian ZEMBALA; Georg NICKENIG; Thomas SNOW; Susanna PRICE; Eduardo Alegria BARRERO; Rodrigo ESTEVEZ-LOUREIRO; Bernard IUNG; José Luis ZAMORANO; Gerhard SCHULER; Ottavio ALFIERI; Bernard PRENDERGAST; Peter LUDMAN; Stephan WINDECKER; Manel SABATE; Martine GILARD; Adam WITKOWSKI; Haim DANENBERG; Erwin SCHROEDER; Francesco ROMEO; Carlos MACAYA; Genevieve DERUMEAUX; Alessio MATTESINI; Luigi TAVAZZI a Carlo DI MARIO. Local and general anaesthesia do not influence outcome of transfemoral aortic valve implantation. \textit{International Journal of Cardiology}. Clare: Elsevier Ireland Ltd., 2014, roč.~177, č.~2, s.~448-454. ISSN~0167-5273. Dostupné z: https://doi.org/10.1016/j.ijcard.2014.09.025.

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