Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions
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Catheter Cardiovasc Interv · Feb 2018
Editorial Historical ArticleThe History of Clinical Research Workshop at CIT: A Ten Year Perspective.
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Catheter Cardiovasc Interv · Feb 2018
Meta AnalysisComparison of local versus general anesthesia in patients undergoing transcatheter aortic valve replacement: A meta-analysis.
Transcatheter aortic valve replacement (TAVR) is typically performed under general anesthesia (GA). However, there is increasing data supporting the safety of performing TAVR under local anesthesia/conscious sedation (LA). We performed a meta-analysis to gain better understanding of the safety and efficacy of LA versus GA in patients with severe aortic stenosis undergoing TAVR. ⋯ Our meta-analysis suggests that use of LA for TAVR is associated with a lower 30-day mortality, shorter procedure time, fluoroscopy time, ICU LOS, hospital length of stay, and reduced need for inotropic support.