Anaesthetic management of transcatheter aortic valve implantation: Results from the Italian CoreValve registry

A. Sonia Petronio, Cristina Giannini, Marco De Carlo, Francesco Bedogni, Antonio Colombo, Corrado Tamburino, Silvio Klugmann, A. Poli, Fabio Guarracino, Marco Barbanti, Azeem Latib, Nedy Brambilla, Claudia Fiorina, Giuseppe Bruschi, Paola Martina, Federica Ettori

Research output: Contribution to journalArticle

Abstract

Aims: Transcatheter aortic valve implantation (TAVI) represents a valid therapeutic alternative for patients with severe aortic stenosis at high surgical risk. However, there is no general consensus regarding the role of anaesthesia in TAVI management. The goal of this clinical project was to assess the safety and non-inferiority of local anaesthesia (LA) versus general anaesthesia (GA) in a large cohort of patients undergoing TAVI. Methods and results: All 1,316 consecutive patients who underwent TAVI at seven high-volume Italian centres were enrolled. The anaesthetic regimen consisted of GA in 355 (26.9%) patients or LA in 961 (73.0%) patients. Baseline demographics were similar between the two groups except for a higher median logistic EuroSCORE (p=0.004) and peripheral artery disease (p

Original languageEnglish
Pages (from-to)381-388
Number of pages8
JournalEuroIntervention
Volume12
Issue number3
DOIs
Publication statusPublished - Jun 1 2016

Keywords

  • General anaesthesia
  • Local anaesthesia
  • Transcatheter aortic valve implantation

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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    Sonia Petronio, A., Giannini, C., De Carlo, M., Bedogni, F., Colombo, A., Tamburino, C., Klugmann, S., Poli, A., Guarracino, F., Barbanti, M., Latib, A., Brambilla, N., Fiorina, C., Bruschi, G., Martina, P., & Ettori, F. (2016). Anaesthetic management of transcatheter aortic valve implantation: Results from the Italian CoreValve registry. EuroIntervention, 12(3), 381-388. https://doi.org/10.4244/EIJY15M03_05