Comparison of Safety and Effectiveness of Local or General Anesthesia after Transcatheter Aortic Valve Implantation: A Systematic Review and Meta-Analysis
Abstract
:1. Introduction
2. Methods
2.1. Data Sources and Search Strategy
2.2. Inclusion and Exclusion Criteria
2.3. Data Extraction and Quality Evaluation
2.4. Outcomes and Definitions
2.5. Risk of Bias Assessment
2.6. Statistical Analysis
3. Results
3.1. Search Results
3.2. Study Characteristics
3.3. Length of Stay
3.4. Procedural Time
3.5. Using of Cardiovascular Drugs
3.6. Incidence of MB
3.7. 30-Day Mortality
3.8. Incidence of AKI
3.9. Fluoroscopy Time
3.10. Other Outcomes
3.11. Subgroup Analysis
3.12. Meta-Regression for the Potential Sources of Heterogeneity
3.13. Publication Bias Assessment and Sensitivity Analysis
4. Discussion
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
- Forrest, J.K.; Mangi, A.; Vaitkeviciute, I. Transcatheter aortic valve replacement: US experience. Curr. Opin. Anaesthesiol. 2015, 28, 107–112. [Google Scholar] [CrossRef]
- Vahanian, A.; Alfieri, O.; Andreotti, F.; Antunes, M.J.; Barón-Esquivias, G.; Baumgartner, H.; Borger, M.A.; Carrel, T.P.; De Bonis, M.; Evangelista, A.; et al. Guidelines on the management of valvular heart disease (version 2012). Eur. Heart J. 2012, 33, 2451–2496. [Google Scholar] [PubMed] [Green Version]
- Makkar, R.R.; Fontana, G.P.; Jilaihawi, H.; Kapadia, S.; Pichard, A.D.; Douglas, P.S.; Thourani, V.H.; Babaliaros, V.C.; Webb, J.G.; Herrmann, H.C.; et al. Transcatheter aortic-valve replacement for inoperable severe aortic stenosis. N. Engl. J. Med. 2012, 366, 1696–1704. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Otto, C.M.; Prendergast, B. Aortic-valve stenosis—from patients at risk to severe valve obstruction. N. Engl. J. Med. 2014, 371, 744–756. [Google Scholar] [CrossRef]
- Nishimura, R.A.; Otto, C.M.; Bonow, R.O.; Carabello, B.A.; Erwin, J.P., 3rd; Guyton, R.A.; O’Gara, P.T.; Ruiz, C.E.; Skubas, N.J.; Sorajja, P.; et al. 2014 AHA/ACC guideline for the management of patients with valvular heart disease: Executive summary: A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. J. Am. Coll. Cardiol. 2014, 63, 2438–2488. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- O’Brien, S.M.; Shahian, D.M.; Filardo, G.; Ferraris, V.A.; Haan, C.K.; Rich, J.B.; Normand, S.L.; DeLong, E.R.; Shewan, C.M.; Dokholyan, R.S.; et al. The Society of Thoracic Surgeons 2008 cardiac surgery risk models: Part 2—Isolated valve surgery. Ann. Thorac. Surg. 2009, 88, S23–S42. [Google Scholar] [CrossRef]
- Leon, M.B.; Smith, C.R.; Mack, M.; Miller, D.C.; Moses, J.W.; Svensson, L.G.; Tuzcu, E.M.; Webb, J.G.; Fontana, G.P.; Makkar, R.R.; et al. Transcatheter aortic-valve implantation for aortic stenosis in patients who cannot undergo surgery. N. Engl. J. Med. 2010, 363, 1597–1607. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Otto, C.M.; Nishimura, R.A.; Bonow, R.O.; Carabello, B.A.; Erwin, J.P., 3rd; Gentile, F.; Jneid, H.; Krieger, E.V.; Mack, M.; McLeod, C.; et al. 2020 ACC/AHA Guideline for the Management of Patients With Valvular Heart Disease: Executive Summary: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. J. Am. Coll. Cardiol. 2021, 77, 450–500. [Google Scholar] [CrossRef] [PubMed]
- Kertai, M.D.; Pal, N.; Palanca, B.J.; Lin, N.; Searleman, S.A.; Zhang, L.; Burnside, B.A.; Finkel, K.J.; Avidan, M.S. Association of perioperative risk factors and cumulative duration of low bispectral index with intermediate-term mortality after cardiac surgery in the B-Unaware Trial. Anesthesiology 2010, 112, 1116–1127. [Google Scholar] [CrossRef] [Green Version]
- Radtke, F.M.; Franck, M.; Lendner, J.; Krüger, S.; Wernecke, K.D.; Spies, C.D. Monitoring depth of anaesthesia in a randomized trial decreases the rate of postoperative delirium but not postoperative cognitive dysfunction. Br. J. Anaesth. 2013, 110 Suppl. 1, i98–i105. [Google Scholar] [CrossRef]
- Fröhlich, G.M.; Lansky, A.J.; Webb, J.; Roffi, M.; Toggweiler, S.; Reinthaler, M.; Wang, D.; Hutchinson, N.; Wendler, O.; Hildick-Smith, D.; et al. Local versus general anesthesia for transcatheter aortic valve implantation (TAVR)—Systematic review and meta-analysis. BMC Med. 2014, 12, 41. [Google Scholar] [CrossRef] [PubMed]
- Reardon, M.J.; Van Mieghem, N.M.; Popma, J.J.; Kleiman, N.S.; Søndergaard, L.; Mumtaz, M.; Adams, D.H.; Deeb, G.M.; Maini, B.; Gada, H.; et al. Surgical or Transcatheter Aortic-Valve Replacement in Intermediate-Risk Patients. N. Engl. J. Med. 2017, 376, 1321–1331. [Google Scholar] [CrossRef] [PubMed]
- Guarracino, F.; Landoni, G. Con: Transcatheter aortic valve implantation should not be performed under general anesthesia. J. Cardiothorac. Vasc. Anesthesia 2012, 26, 736–739. [Google Scholar] [CrossRef]
- Fassl, J. Pro: Transcatheter aortic valve implantation should be performed with general anesthesia. J. Cardiothorac. Vasc. Anesthesia 2012, 26, 733–735. [Google Scholar] [CrossRef] [PubMed]
- Page, M.J.; McKenzie, J.E.; Bossuyt, P.M.; Boutron, I.; Hoffmann, T.C.; Mulrow, C.D.; Shamseer, L.; Tetzlaff, J.M.; Akl, E.A.; Brennan, S.E.; et al. The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. Syst. Rev. 2021, 10, 89. [Google Scholar] [CrossRef]
- Higgins, J.P.; Altman, D.G.; Gøtzsche, P.C.; Jüni, P.; Moher, D.; Oxman, A.D.; Savovic, J.; Schulz, K.F.; Weeks, L.; Sterne, J.A. The Cochrane Collaboration’s tool for assessing risk of bias in randomised trials. BMJ 2011, 343, d5928. [Google Scholar] [CrossRef] [Green Version]
- Higgins, J.P.; Thompson, S.G.; Deeks, J.J.; Altman, D.G. Measuring inconsistency in meta-analyses. BMJ 2003, 327, 557–560. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Cattaneo, S.; Lagrotta, M. Transcatheter implantation of an aortic valve: Anesthesiological management. Minerva Anestesiol. 2010, 76, 287–289. [Google Scholar]
- Dehédin, B.; Guinot, P.G.; Ibrahim, H.; Allou, N.; Provenchère, S.; Dilly, M.P.; Vahanian, A.; Himbert, D.; Brochet, E.; Radu, C.; et al. Anesthesia and perioperative management of patients who undergo transfemoral transcatheter aortic valve implantation: An observational study of general versus local/regional anesthesia in 125 consecutive patients. J. Cardiothorac. Vasc. Anesth. 2011, 25, 1036–1043. [Google Scholar] [CrossRef] [PubMed]
- Motloch, L.J.; Rottlaender, D.; Reda, S.; Larbig, R.; Bruns, M.; Müller-Ehmsen, J.; Strauch, J.; Madershahian, N.; Erdmann, E.; Wahlers, T.; et al. Local versus general anesthesia for transfemoral aortic valve implantation. Clin. Res. Cardiol. Off. J. Ger. Card. Soc. 2012, 101, 45–53. [Google Scholar] [CrossRef]
- Bergmann, L.; Kahlert, P.; Eggebrecht, H.; Frey, U.; Peters, J.; Kottenberg, E. Transfemoral aortic valve implantation under sedation and monitored anaesthetic care—a feasibility study. Anaesthesia 2011, 66, 977–982. [Google Scholar] [CrossRef] [PubMed]
- Yamamoto, M.; Meguro, K.; Mouillet, G.; Bergoend, E.; Monin, J.L.; Lim, P.; Dubois-Rande, J.L.; Teiger, E. Effect of local anesthetic management with conscious sedation in patients undergoing transcatheter aortic valve implantation. Am. J. Cardiol. 2013, 111, 94–99. [Google Scholar] [CrossRef]
- Balanika, M.; Smyrli, A.; Samanidis, G.; Spargias, K.; Stavridis, G.; Karavolias, G.; Khoury, M.; Voudris, V.; Lacoumenta, S. Anesthetic management of patients undergoing transcatheter aortic valve implantation. J. Cardiothorac. Vasc. Anesth. 2014, 28, 285–289. [Google Scholar] [CrossRef]
- Oguri, A.; Yamamoto, M.; Mouillet, G.; Gilard, M.; Laskar, M.; Eltchaninoff, H.; Fajadet, J.; Iung, B.; Donzeau-Gouge, P.; Leprince, P.; et al. Clinical outcomes and safety of transfemoral aortic valve implantation under general versus local anesthesia: Subanalysis of the French Aortic National CoreValve and Edwards 2 registry. Circ. Cardiovasc. Interv. 2014, 7, 602–610. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Babaliaros, V.; Devireddy, C.; Lerakis, S.; Leonardi, R.; Iturra, S.A.; Mavromatis, K.; Leshnower, B.G.; Guyton, R.A.; Kanitkar, M.; Keegan, P.; et al. Comparison of transfemoral transcatheter aortic valve replacement performed in the catheterization laboratory (minimalist approach) versus hybrid operating room (standard approach): Outcomes and cost analysis. JACC Cardiovasc. Interv. 2014, 7, 898–904. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Dall’Ara, G.; Eltchaninoff, H.; Moat, N.; Laroche, C.; Goicolea, J.; Ussia, G.P.; Kala, P.; Wenaweser, P.; Zembala, M.; Nickenig, G.; et al. Local and general anaesthesia do not influence outcome of transfemoral aortic valve implantation. Int. J. Cardiol. 2014, 177, 448–454. [Google Scholar] [CrossRef] [PubMed]
- Lauck, S.B.; Wood, D.A.; Achtem, L.; Baumbusch, J.; Boone, R.H.; Cheung, A.; Dvir, D.; Stub, D.; Tan, J.S.; Ye, J.; et al. Risk stratification and clinical pathways to optimize length of stay after transcatheter aortic valve replacement. Can. J. Cardiol. 2014, 30, 1583–1587. [Google Scholar] [CrossRef]
- Petronio, A.S.; Giannini, C.; De Carlo, M.; Bedogni, F.; Colombo, A.; Tamburino, C.; Klugmann, S.; Poli, A.; Guarracino, F.; Barbanti, M.; et al. Anaesthetic management of transcatheter aortic valve implantation: Results from the Italian CoreValve registry. EuroIntervention 2016, 12, 381–388. [Google Scholar] [CrossRef] [Green Version]
- Goren, O.; Finkelstein, A.; Gluch, A.; Sheinberg, N.; Dery, E.; Matot, I. Sedation or general anesthesia for patients undergoing transcatheter aortic valve implantation—Does it affect outcome? An observational single-center study. J. Clin. Anesthesia 2015, 27, 385–390. [Google Scholar] [CrossRef]
- Gauthier, C.; Astarci, P.; Baele, P.; Matta, A.; Kahn, D.; Kefer, J.; Momeni, M. Mid-term survival after transcatheter aortic valve implantation: Results with respect to the anesthetic management and to the access route (transfemoral versus transapical). Ann. Card. Anaesth. 2015, 18, 343–351. [Google Scholar] [CrossRef]
- Mayr, N.P.; Hapfelmeier, A.; Martin, K.; Kurz, A.; van der Starre, P.; Babik, B.; Mazzitelli, D.; Lange, R.; Wiesner, G.; Tassani-Prell, P. Comparison of sedation and general anaesthesia for transcatheter aortic valve implantation on cerebral oxygen saturation and neurocognitive outcome†. Br. J. Anaesth. 2016, 116, 90–99. [Google Scholar] [CrossRef] [PubMed]
- Attizzani, G.F.; Alkhalil, A.; Padaliya, B.; Tam, C.C.; Lopes, J.P.; Fares, A.; Bezerra, H.G.; Medallion, B.; Park, S.; Deo, S.; et al. Comparison of Outcomes of Transfemoral Transcatheter Aortic Valve Implantation Using a Minimally Invasive Versus Conventional Strategy. Am. J. Cardiol. 2015, 116, 1731–1736. [Google Scholar]
- Brecker, S.J.; Bleiziffer, S.; Bosmans, J.; Gerckens, U.; Tamburino, C.; Wenaweser, P.; Linke, A. Impact of Anesthesia Type on Outcomes of Transcatheter Aortic Valve Implantation (from the Multicenter ADVANCE Study). Am. J. Cardiol. 2016, 117, 1332–1338. [Google Scholar] [CrossRef]
- Kiramijyan, S.; Ben-Dor, I.; Koifman, E.; Didier, R.; Magalhaes, M.A.; Escarcega, R.O.; Negi, S.I.; Baker, N.C.; Gai, J.; Torguson, R.; et al. Comparison of clinical outcomes with the utilization of monitored anesthesia care vs. general anesthesia in patients undergoing transcatheter aortic valve replacement. Cardiovasc. Revascularization Med. 2016, 17, 384–390. [Google Scholar] [CrossRef]
- Palermo, C.; Degnan, M.; Candiotti, K.; Salerno, T.; de Marchena, E.; Rodriguez-Blanco, Y. Monitored Anesthesia Care Versus General Anesthesia: Experience With the Medtronic CoreValve. J. Cardiothorac. Vasc. Anesthesia 2016, 30, 1234–1237. [Google Scholar] [CrossRef] [PubMed]
- D’Errigo, P.; Ranucci, M.; Covello, R.D.; Biancari, F.; Rosato, S.; Barbanti, M.; Onorati, F.; Tamburino, C.; Santoro, G.; Grossi, C.; et al. Outcome After General Anesthesia Versus Monitored Anesthesia Care in Transfemoral Transcatheter Aortic Valve Replacement. J. Cardiothorac. Vasc. Anesth. 2016, 30, 1238–1243. [Google Scholar] [CrossRef] [PubMed]
- Kesimci, E.; Erkiliç, E.; Gümüş, T.; Kanbak, O. Impact of different anesthetic managements in outcomes of transcatheteraortic valve implantation: The first Turkish experience. Turk. J. Med Sci. 2016, 46, 742–748. [Google Scholar] [CrossRef]
- Jabbar, A.; Khurana, A.; Mohammed, A.; Das, R.; Zaman, A.; Edwards, R. Local Versus General Anesthesia in Transcatheter Aortic Valve Replacement. Am. J. Cardiol. 2016, 118, 1712–1716. [Google Scholar] [CrossRef]
- Debry, N.; Delhaye, C.; Azmoun, A.; Ramadan, R.; Fradi, S.; Brenot, P.; Sudre, A.; Moussa, M.D.; Tchetche, D.; Ghostine, S.; et al. Transcarotid Transcatheter Aortic Valve Replacement: General or Local Anesthesia. JACC Cardiovasc. Interv. 2016, 9, 2113–2120. [Google Scholar] [CrossRef]
- He, W.; Huang, R.R.; Shi, Q.Y.; Liu, X.B.; Wang, J.A.; Yan, M. Bispectral index-guided sedation in transfemoral transcatheter aortic valve implantation: A retrospective control study. J. Zhejiang Univ. Sci. B 2017, 18, 353–359. [Google Scholar] [CrossRef] [Green Version]
- Hosoba, S.; Yamamoto, M.; Shioda, K.; Sago, M.; Koyama, Y.; Shimura, T.; Kagase, A.; Tada, N.; Naganuma, T.; Araki, M.; et al. Safety and efficacy of minimalist approach in transfemoral transcatheter aortic valve replacement: Insights from the Optimized transCathEter vAlvular interventioN-Transcatheter Aortic Valve Implantation (OCEAN-TAVI) registry. Interact. Cardiovasc. Thorac. Surg. 2018, 26, 420–424. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Husser, O.; Fujita, B.; Hengstenberg, C.; Frerker, C.; Beckmann, A.; Möllmann, H.; Walther, T.; Bekeredjian, R.; Böhm, M.; Pellegrini, C.; et al. Conscious Sedation Versus General Anesthesia in Transcatheter Aortic Valve Replacement: The German Aortic Valve Registry. JACC Cardiovasc. Interv. 2018, 11, 567–578. [Google Scholar] [CrossRef] [PubMed]
- Eskandari, M.; Aldalati, O.; Dworakowski, R.; Byrne, J.A.; Alcock, E.; Wendler, O.; MacCarthy, P.A.; Ludman, P.F.; Hildick-Smith, D.J.R.; Monaghan, M.J. Comparison of general anaesthesia and non-general anaesthesia approach in transfemoral transcatheter aortic valve implantation. Heart Br. Card. Soc. 2018, 104, 1621–1628. [Google Scholar] [CrossRef] [PubMed]
- Zaouter, C.; Smaili, S.; Leroux, L.; Bonnet, G.; Leuillet, S.; Ouattara, A. Transcatheter aortic valve implantation: General anesthesia using transesophageal echocardiography does not decrease the incidence of paravalvular leaks compared to sedation alone. Ann. Card. Anaesth. 2018, 21, 277–284. [Google Scholar] [CrossRef]
- Attizzani, G.F.; Patel, S.M.; Dangas, G.D.; Szeto, W.Y.; Sorajja, P.; Reardon, M.J.; Popma, J.J.; Kodali, S.; Chenoweth, S.; Costa, M.A. Comparison of Local Versus General Anesthesia Following Transfemoral Transcatheter Self-Expanding Aortic Valve Implantation (from the Transcatheter Valve Therapeutics Registry). Am. J. Cardiol. 2019, 123, 419–425. [Google Scholar] [CrossRef]
- Martins, A.; Castro, M.L.; Fragata, I. Initial Experience of a TAVI Program: Analysis of the Anesthetic Decision and its Evolution. Acta Med. Port. 2019, 32, 126–132. [Google Scholar] [CrossRef] [Green Version]
- Mosleh, W.; Mather, J.F.; Amer, M.R.; Hiendlmayr, B.; Kiernan, F.J.; McKay, R.G. Propensity Matched Analysis Comparing Conscious Sedation Versus General Anesthesia in Transcatheter Aortic Valve Implantation. Am. J. Cardiol. 2019, 124, 70–77. [Google Scholar] [CrossRef] [PubMed]
- Ahmad, M.; Patel, J.N.; Vipparthy, S.C.; Divecha, C.; Barzallo, P.X.; Kim, M.; Schrader, S.C.; Barzallo, M.; Mungee, S. Conscious Sedation Versus General Anesthesia in Transcatheter Aortic Valve Replacement: A Cost and Outcome Analysis. Cureus 2019, 11, e4812. [Google Scholar] [CrossRef] [Green Version]
- Neumann, F.J.; Redwood, S.; Abdel-Wahab, M.; Lefèvre, T.; Frank, D.; Eltchaninoff, H.; Caussin, C.; Stella, P.R.; Hovorka, T.; Baumgartner, H.; et al. General Anesthesia or Conscious Sedation for Transfemoral Aortic Valve Replacement with the SAPIEN 3 Transcatheter Heart Valve. Int. Heart J. 2020, 61, 713–719. [Google Scholar] [CrossRef]
- Thiele, H.; Kurz, T.; Feistritzer, H.J.; Stachel, G.; Hartung, P.; Lurz, P.; Eitel, I.; Marquetand, C.; Nef, H.; Doerr, O.; et al. General Versus Local Anesthesia With Conscious Sedation in Transcatheter Aortic Valve Implantation: The Randomized SOLVE-TAVI Trial. Circulation 2020, 142, 1437–1447. [Google Scholar] [CrossRef]
- Akba, S.; Ozkan, A.S. General Anesthesia versus Local Anesthesia plus Sedation in High Risk Patients Underwent Transcatheter Aortic Valve Implantation (TAVI): A Retrospective Cohort Study. GKDA Derg. 2019, 25, 43–51. [Google Scholar] [CrossRef]
- Kim, R.S.; Gonzalez-Ciccarelli, L.F.; Brovman, E.Y. Regional anesthesia techniques for cardiac surgery: Where are we? Curr. Opin. Anaesthesiol. 2022, 35, 485–492. [Google Scholar] [CrossRef] [PubMed]
- Evered, L.A.; Chan, M.T.V.; Han, R.; Chu, M.H.M.; Cheng, B.P.; Scott, D.A.; Pryor, K.O.; Sessler, D.I.; Veselis, R.; Frampton, C.; et al. Anaesthetic depth and delirium after major surgery: A randomised clinical trial. Br. J. Anaesth. 2021, 127, 704–712. [Google Scholar] [CrossRef] [PubMed]
- Kelava, M.; Alfirevic, A.; Bustamante, S.; Hargrave, J.; Marciniak, D. Regional Anesthesia in Cardiac Surgery: An Overview of Fascial Plane Chest Wall Blocks. Obstet. Anesthesia Dig. 2020, 131, 127–135. [Google Scholar] [CrossRef] [PubMed]
- Glauber, M.; Ferrarini, M.; Miceli, A. Minimally invasive aortic valve surgery: State of the art and future directions. Ann. Cardiothorac. Surg. 2015, 4, 26–32. [Google Scholar]
- Li, Z.; Dawson, E.; Moodie, J.; Martin, J.; Bagur, R.; Cheng, D.; Kiaii, B.; Hashi, A.; Bi, R.; Yeschin, M.; et al. Measurement and prognosis of frail patients undergoing transcatheter aortic valve implantation: A systematic review and meta-analysis. BMJ Open 2021, 11, e040459. [Google Scholar] [CrossRef]
- Gao, L.; Jin, B.; Chao, C.; Wang, B.; Zhang, X.; Shen, J. Comparative Efficacy of Local and General Anesthesia for Transcatheter Aortic Valve Implantation: A Meta-Analysis and Systematic Review. Hear. Surg. Forum 2022, 25, E364–E373. [Google Scholar] [CrossRef]
- Konigstein, M.; Ben-Shoshan, J.; Zahler, D.; Flint, N.; Margolis, G.; Granot, Y.; Aviram, G.; Halkin, A.; Keren, G.; Banai, S.; et al. Outcome of patients undergoing TAVR with and without the attendance of an anesthesiologist. Int. J. Cardiol. 2017, 241, 124–127. [Google Scholar] [CrossRef]
- Maas, E.H.; Pieters, B.M.; Van de Velde, M.; Rex, S. General or Local Anesthesia for TAVI? A Systematic Review of the Literature and Meta-Analysis. Curr. Pharm. Des. 2016, 22, 1868–1878. [Google Scholar] [CrossRef]
- Wendler, O.; Schymik, G.; Treede, H.; Baumgartner, H.; Dumonteil, N.; Ihlberg, L.; Neumann, F.J.; Tarantini, G.; Zamarano, J.L.; Vahanian, A. SOURCE 3 Registry: Design and 30-Day Results of the European Postapproval Registry of the Latest Generation of the SAPIEN 3 Transcatheter Heart Valve. Circulation 2017, 135, 1123–1132. [Google Scholar] [CrossRef]
- Webb, J.G.; Blanke, P.; Meier, D.; Sathananthan, J.; Lauck, S.; Chatfield, A.G.; Jelisejevas, J.; Wood, D.A.; Akodad, M. TAVI in 2022: Remaining issues and future direction. Arch. Cardiovasc. Dis. 2022, 115, 235–242. [Google Scholar] [CrossRef] [PubMed]
- Vincent, J.L.; Rello, J.; Marshall, J.; Silva, E.; Anzueto, A.; Martin, C.D.; Moreno, R.; Lipman, J.; Gomersall, C.; Sakr, Y.; et al. International study of the prevalence and outcomes of infection in intensive care units. JAMA 2009, 302, 2323–2329. [Google Scholar] [CrossRef] [Green Version]
- Auffret, V.; Puri, R.; Urena, M.; Chamandi, C.; Rodriguez-Gabella, T.; Philippon, F.; Rodés-Cabau, J. Conduction Disturbances After Transcatheter Aortic Valve Replacement: Current Status and Future Perspectives. Circulation 2017, 136, 1049–1069. [Google Scholar] [CrossRef] [PubMed]
- Généreux, P.; Head, S.J.; Van Mieghem, N.M.; Kodali, S.; Kirtane, A.J.; Xu, K.; Smith, C.; Serruys, P.W.; Kappetein, A.P.; Leon, M.B. Clinical outcomes after transcatheter aortic valve replacement using valve academic research consortium definitions: A weighted meta-analysis of 3,519 patients from 16 studies. J. Am. Coll. Cardiol. 2012, 59, 2317–2326. [Google Scholar] [CrossRef] [PubMed]
Reference | Country | Group | N | Mean Age (year) | BMI (Kg/m2) | LVEF (%) |
---|---|---|---|---|---|---|
Brecker 2016 | United Kingdom | LA | 245 | 81.3 ± 6.2 | NA | 51.6 ± 13.8 |
GA | 245 | 81.6 ± 6.5 | NA | 52.7 ± 12.6 | ||
Gianni 2014 | United Kingdom | LA | 1095 | 82.5 ± 7.0 | 26.2 ± 4.9 | 53.5 ± 14.3 |
GA | 1712 | 81.4 ± 7.1 | 26.5 ± 5.0 | 53.4 ± 13.5 | ||
Attizzani 2018 | American | LA | 1988 | 81.9 ± 7.6 | NA | NA |
GA | 1988 | 81.7 ± 7.7 | NA | NA | ||
Benedicte 2011 | France | LA | 34 | 82.1 ± 10.1 | NA | 52 ± 15.5 |
GA | 91 | 81.9 ± 5.3 | NA | 50 ± 15.1 | ||
Sedat 2018 | Turkey | LA | 26 | 75.3 ± 6.9 | 26.7 ± 4.7 | NA |
GA | 23 | 77.7 ± 8.3 | 27.1 ± 3.9 | NA | ||
Mansoor 2019 | American | LA | 194 | 80 ± 8.8 | NA | NA |
GA | 224 | 81.8 ± 8.1 | NA | NA | ||
Holger 2020 | Germany | LA | 218 | 81.8 ± 5.3 | 26.7 ± 3.9 | NA |
GA | 220 | 81.4 ± 5.7 | 26.9 ± 3.8 | NA | ||
Motloch 2011 | Austria | LA | 41 | 82.6 ± 1.2 | NA | 53.6 ± 2.6 |
GA | 33 | 83.4 ± 0.6 | NA | 54.8 ± 2.3 | ||
Cedrick 2018 | France | LA | 168 | 81.8 ± 8.4 | 27.1 ± 5.8 | 52.3 ± 13.5 |
GA | 66 | 80.2 ± 7.5 | 26 ± 5.8 | 52 ± 14.8 | ||
Martins 2019 | Portugal | LA | 47 | 81 ± 6.1 | NA | NA |
GA | 102 | 81.6 ± 5.3 | NA | NA | ||
Errigo 2016 | Italy | LA | 310 | 82.7 ± 5.8 | 26.4 ± 5.5 | NA |
GA | 310 | 82 ± 5.4 | 26.4 ± 5 | NA | ||
Covello 2010 | Italy | LA | 42 | 79.5 ± 6.9 | NA | NA |
GA | 27 | 77.6 ± 7.9 | NA | NA | ||
Debry 2016 | France | LA | 52 | 81 ± 7.5 | 25 ± 4.5 | 51.6 ± 14.7 |
GA | 122 | 80.3 ± 8 | 27.1 ± 7.4 | 54.5 ± 13.2 | ||
Caroline 2015 | Belgium | LA | 66 | 85.6 ± 3.8 | 24.9 ± 3.8 | NA |
GA | 51 | 85.3 ± 4.6 | 25.4 ± 5.3 | NA | ||
Eskandari 2017 | United Kingdom | LA | 153 | 82.6 ± 6.7 | 27.5 ± 5.4 | NA |
GA | 153 | 82.4 ± 6.5 | 26.7 ± 5.6 | NA | ||
Soh 2017 | Japan | LA | 118 | 84 ± 6 | 21.5 ± 4.2 | NA |
GA | 118 | 83.5 ± 6 | 21.2 ± 4 | NA | ||
Babaliaros 2014 | American | LA | 70 | 82 ± 8 | 27 ± 5 | 49 ± 15 |
GA | 72 | 83 ± 8 | 28 ± 6 | 49 ± 15 | ||
Balanika 2014 | Greece | LA | 41 | 82 ± 6 | NA | 45 ± 15 |
GA | 57 | 81 ± 4 | NA | 45 ± 15 | ||
Bergmann 2011 | Germany | LA | 100 | 80.2 ± 6.6 | 26.9 ± 4.5 | NA |
GA | 51 | 81.1 ± 6.1 | 26.6 ± 4.9 | NA | ||
Goren 2015 | Israel | LA | 129 | 83 ± 5.4 | 27 ± 4 | 56 ± 8 |
GA | 75 | 83 ± 5.5 | 28 ± 5 | 57 ± 7 | ||
Palermo 2016 | American | LA | 44 | 85.4 ± 9.1 | 28.5 | 56.5 ± 12.3 |
GA | 21 | 79.6 ± 10.9 | 26.3 | 54.0 ± 14.3 | ||
Petronio 2015 | Italy | LA | 255 | 81.7 ± 6.8 | NA | 50.7 ± 12.2 |
GA | 255 | 81.4 ± 6.4 | NA | 51.1 ± 13.1 | ||
Mayr 2016 | Germany | LA | 31 | 82.9 ± 5.4 | 26.6 ± 3.9 | 52.7 ± 17.1 |
GA | 31 | 79.6 ± 7 | 26.1 ± 5.4 | 52.5 ± 13.2 | ||
Sandra 2014 | Canada | LA | 43 | 82.3 ± 6.2 | NA | 60.1 ± 10.3 |
GA | 101 | 81.8 ± 7.4 | NA | 52.2 ± 15.8 | ||
Elvin 2015 | Turkey | LA | 72 | 77.4 ± 8.7 | 27.2 ± 5.4 | NA |
GA | 79 | 76.3 ± 8.6 | 27.2 ± 5.1 | NA | ||
Wassim 2019 | American | LA | 154 | 82.1 ± 7.4 | 27.2 ± 5.3 | 54.3 ± 15.2 |
GA | 154 | 80.3 ± 9.3 | 29.9 ± 7.7 | 53.5 ± 17.2 | ||
Sarkis 2016 | American | LA | 467 | 82.9 ± 7.6 | 27.4 ± 6.8 | 52.8 ± 13.7 |
GA | 66 | 81.3 ± 10.6 | 31 ± 10.4 | 52.6 ± 14.5 | ||
Avais 2016 | United Kingdom | LA | 71 | 80.9 ± 6.8 | 27.6 ± 5.2 | NA |
GA | 145 | 80.2 ± 6.9 | 26.6 ± 5.6 | NA | ||
Wei 2017 | China | LA | 77 | 74.1 ± 6.4 | 23.3 ± 3.2 | 52.8 ± 13.6 |
GA | 36 | 76.0 ± 5.6 | 23 ± 3.2 | 51.4 ± 12.2 | ||
Oliver 2018 | Germany | LA | 2624 | 81 ± 6 | 27 ± 4.5 | NA |
GA | 2624 | 81 ± 5 | 27 ± 4.5 | NA | ||
Neumann 2020 | Germany | LA | 1027 | 81.9 ± 6.7 | NA | NA |
GA | 667 | 81.3 ± 6.6 | NA | NA | ||
Attizzani 2015 | American | LA | 116 | 81 ± 8 | 29.6 ± 8.7 | 51 |
GA | 91 | 81 ± 9 | 29.4 ± 7 | 49 | ||
Atsushi 2014 | France | LA | 403 | 83.3 ± 7.8 | 25.9 ± 4.6 | 53.4 ± 14.3 |
GA | 403 | 83.3 ± 6.9 | 25.9 ± 4.8 | 52.8 ± 13.7 | ||
Masanori 2013 | France | LA | 130 | 83.7 ± 7.1 | 25.7 ± 5 | 50.4 ± 14.1 |
GA | 44 | 84.7 ± 7 | 26 ± 4 | 45.1 ± 12.6 |
Reference | Age (Year) | CAD (%) | DM (%) | CRRT (%) | CVA (%) | COPD (%) | PVD (%) | Stroke (%) | NYHA III/IV (%) | EuroScore (%) |
---|---|---|---|---|---|---|---|---|---|---|
Brecker 2016 | 81.45 ± 6.4 | 54.2 | 24.3 | 13.3 | 12.5 | NA | 16.8 | 12.3 | 79 | 16.2 |
Gianni 2014 | 81.8 ± 7.1 | 20.1 | 25.3 | 7.6 | 11.9 | 25.3 | NA | NA | 78.4 | 20.4 |
Attizzani 2018 | 81.0 ± 8.3 | 65.2 | 35.3 | 3.3 | 12.2 | 43.7 | 25.7 | 12.2 | 79.3 | NA |
Benedicte 2011 | 82.6 ± 6.8 | 49.8 | 20.1 | NA | 62.7 | 25.9 | 7.3 | 11.3 | 82.6 | 23.9 |
Sedat 2018 | 76.4 ± 7.5 | NA | NA | NA | NA | NA | NA | NA | 4.1 | 26.6 |
Mansoor 2019 | 80.9 ± 8.5 | NA | 40.7 | 3.4 | NA | 23.9 | NA | NA | 85.6 | NA |
Holger 2020 | 81.6 ± 5.5 | 55.4 | 33.7 | NA | NA | 13.6 | 12.5 | 11.7 | 65.9 | 4.5 |
Motloch 2011 | 83 ± 0.9 | 43.2 | 28.4 | NA | NA | 10.8 | NA | 18.9 | 82.4 | NA |
Cedrick 2018 | 81.3 ± 8.2 | 46.1 | 23.9 | NA | NA | 30.8 | 28.6 | 7.7 | 57.3 | 22.6 |
Martins 2019 | 81.4 ± 5.6 | 40.9 | 28.9 | NA | NA | 18.1 | 26.2 | 14.1 | 64.4 | NA |
Errigo 2016 | 82.4 ± 5.6 | 25.2 | 29.2 | 1.3 | NA | 23.9 | 20 | 5.9 | 68.3 | 13.4 |
Covello 2010 | 78.8 ± 7.3 | 52 | 32 | 4 | 17 | 57 | 14 | NA | 67 | 26.5 |
Debry 2016 | 80.5 ± 7.9 | 52.2 | 31.6 | 22.9 | NA | 28.1 | NA | 13.7 | 83.9 | 20.1 |
Caroline 2015 | 85.5 ± 4.1 | 67.5 | 23.9 | NA | 20.5 | 31.6 | NA | NA | 65.8 | 26.3 |
Eskandari 2017 | 82.5 ± 6.6 | 38.6 | 23.5 | 1.3 | 14.1 | 30.8 | 10.2 | 14.1 | 76.8 | NA |
Soh 2017 | 83.8 ± 6 | 28 | 28 | NA | NA | 24.6 | 16.5 | 4.7 | 47.9 | NA |
Babaliaros 2014 | 82.5 ± 8 | 81 | 43.7 | 5.6 | 33.8 | 14.1 | 22.5 | NA | 88 | NA |
Balanika 2014 | 81.4 ± 4.8 | NA | NA | NA | NA | NA | NA | NA | NA | 27.4 |
Bergmann 2011 | 80.2 ± 6.5 | 59 | NA | 8 | 10 | 29 | 33 | NA | NA | 14 |
Goren 2015 | 83 ± 5.5 | 64 | 32 | NA | 9 | 15 | 26 | 3 | 96.6 | NA |
Palermo 2016 | 83.5 ± 9.7 | 66.1 | 33.8 | 1.6 | 13.9 | 27.7 | 4.6 | NA | NA | 13.4 |
Petronio 2015 | 81.6 ± 6.4 | 46.3 | 29.1 | NA | NA | 25.4 | 29.5 | 9.8 | 72.4 | 21.1 |
Mayr 2016 | 81.3 ± 6.2 | NA | NA | NA | NA | NA | NA | NA | 74.2 | 10.7 |
Atsushi 2014 | 83.3 ± 7.4 | NA | 25.1 | NA | NA | 25.8 | 12.9 | 10.5 | 76.7 | 18 |
Masanori 2013 | 83.9 ± 7.1 | NA | 22.4 | NA | 10.3 | 23.6 | 18.4 | NA | 65.5 | 23.8 |
Sandra 2014 | 82 ± 7 | 42.3 | NA | NA | NA | 9.7 | NA | NA | 84 | NA |
Elvin 2015 | 76.8 ± 8.6 | 60.3 | 18.5 | NA | 8.6 | 25.2 | 11.9 | NA | NA | 14.8 |
Wassim 2019 | 81.4 ± 8.3 | NA | 35 | 3 | 18 | 23 | 25 | 11 | 91 | NA |
Sarkis 2016 | 82.7 ± 8 | 73.7 | 34 | NA | 12.3 | 34.5 | 28.9 | NA | 87.8 | NA |
Avais 2016 | 80.4 ± 6.9 | 71.9 | 21.7 | 11.7 | NA | 37.8 | 14.7 | NA | 16 | NA |
Wei 2017 | 74.7 ± 6.2 | 46.9 | 17.7 | 15 | NA | 15.9 | 48.7 | NA | 74.3 | NA |
Oliver 2018 | 81 ± 6 | 54.1 | 13.8 | 2.7 | 2.9 | 12.6 | 14.4 | NA | 85.1 | 16 |
Neumann 2020 | 81.7 ± 6.7 | 48.8 | 28.7 | NA | 11.6 | 15.1 | 11.9 | 7.8 | 9 | 17.8 |
Attizzani 2015 | 81 ± 8.4 | 59.4 | 49.8 | 4.8 | NA | 38.6 | 23.2 | 19.3 | 84.1 | NA |
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Wang, L.; Liu, Y.; Gao, H.; Zhang, B.; Zhou, S.; Xie, M.; Sun, X. Comparison of Safety and Effectiveness of Local or General Anesthesia after Transcatheter Aortic Valve Implantation: A Systematic Review and Meta-Analysis. J. Clin. Med. 2023, 12, 508. https://doi.org/10.3390/jcm12020508
Wang L, Liu Y, Gao H, Zhang B, Zhou S, Xie M, Sun X. Comparison of Safety and Effectiveness of Local or General Anesthesia after Transcatheter Aortic Valve Implantation: A Systematic Review and Meta-Analysis. Journal of Clinical Medicine. 2023; 12(2):508. https://doi.org/10.3390/jcm12020508
Chicago/Turabian StyleWang, Luchen, Yanxiang Liu, Haoyu Gao, Bowen Zhang, Sangyu Zhou, Mingxin Xie, and Xiaogang Sun. 2023. "Comparison of Safety and Effectiveness of Local or General Anesthesia after Transcatheter Aortic Valve Implantation: A Systematic Review and Meta-Analysis" Journal of Clinical Medicine 12, no. 2: 508. https://doi.org/10.3390/jcm12020508