作者
Lukas J Motloch, Dennis Rottlaender, Sara Reda, Robert Larbig, Marie Bruns, Jochen Müller-Ehmsen, Justus Strauch, Navid Madershahian, Erland Erdmann, Thorsten Wahlers, Uta C Hoppe
发表日期
2012/1
期刊
Clinical Research in Cardiology
卷号
101
页码范围
45-53
出版商
Springer-Verlag
简介
Background
Transcatheter aortic valve implantation (TAVI) represents a novel option for elderly with severe aortic valve stenosis who are denied surgical aortic valve replacement due to high perioperative risk. While transfemoral TAVI generally is being performed in general anesthesia (GA), TAVI under local anesthesia plus mild sedation (LAPS) might be an effective and safe alternative.
Methods
In a single-centre analysis, we assessed clinical data, preoperative risk scores (STS-Score), echocardiography, periprocedural data and labor costs in 74 patients undergoing transfemoral TAVI under GA (n = 33) and LAPS (n = 41).
Results
Patients who underwent TAVI in LAPS presented significantly more often with pulmonary hypertension and impaired renal function, and tended to have a higher STS score and more severe …
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LJ Motloch, D Rottlaender, S Reda, R Larbig, M Bruns… - Clinical Research in Cardiology, 2012