The Effect Of Anesthesia Type Applied In Transcatheter Aortic Valve Implantation

OBJECTIVE
Different results have been obtained in studies on the effect of anesthesia type applied during trancatheter aortic valve implantation (TAVI) on in-hospital outcomes. In this study, we aimed to investigate the effect of the type of anesthesia we use on patients who underwent TAVI in our hospital, on the intensive care unit (ICU) length of stay (LOS) and the need for inotropes.

METHODS
Total of 140 patients who underwent TAVI procedure in our cardiology clinic between January 2016 and January 2022 were retrospectively analyzed. The patients were divided into 2 groups as deep sedation (DS) and general anesthesia (GA) according to the type of anesthesia.

RESULTS
The mean age of all patients was 78.5±8.6, and 69 of the patients (49.3%) were female. ICU LOS, midazolam, use of inotropic agents and procedural hypotension were significantly lower in the DS group than in the GA group [(1[1-2] vs 1[1-2.5], p: 0.03), (2.1±0.4 vs 2.3±05, p: 0.02), (39(37.9%) vs 22(59.5%), p: 0.02), (41(39.8%) vs 25(67.6%), p: 0.004)]. GA was associated with increased use of inotropic agents during TAVI compared to DS (Odds-Ratio = 2.93 CI 95%. 1.18-7.30, p = 0.02).

CONCLUSION
The use of inotropes is less in TAVI procedures performed under DS and ICU LOS is shorter.