Cardiovascular revascularization medicine : including molecular interventions
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Cardiovasc Revasc Med · Jul 2012
Comparative StudyTranscatheter aortic valve replacement under monitored anesthesia care versus general anesthesia with intubation.
Most transcatheter aortic valve replacement (T-AVR) using the Edwards SAPIEN transcatheter heart valve (Edwards Lifesciences, Irvine, CA) is done under general anesthesia. The present study aimed to examine the feasibility and safety of T-AVR under monitored anesthesia care and aimed to compare the clinical outcome to the outcome of patients who underwent general anesthesia. ⋯ T-AVR using the Edwards SAPIEN valve can be performed in the majority of cases with controlled monitored anesthesia care, thereby avoiding the necessity of general anesthesia and resulting in shorter procedure time and in-hospital length of stay.