title: Monitored Anesthesia Care Versus General Anesthesia: Experience With the Medtronic CoreValve.
abstract: OBJECTIVE
  To compare monitored anesthesia care (MAC) and general anesthesia (GA) for transcatheter aortic valve implantation (TAVI).
  
  
  METHODS
  Retrospective, case-control study.
  
  
  METHODS
  A large university-affiliated hospital system.
  
  
  METHODS
  The study comprised patients who underwent TAVI with the Medtronic CoreValve (Medtronic, Minneapolis, MN) between 2011 and 2015.
  
  
  METHODS
  None.
  
  
  RESULTS
  MAC (n = 44) and GA (n = 21) were compared in 65 patients who underwent TAVI. Baseline characteristics/demographics, hospital stay, intraoperative conditions, and intensive care unit (ICU)/hospital stays were compared using the chi-square test, unpaired t-test, or binomial regression where appropriate. There were no significant differences between patient populations with regard to 30-day mortality, ICU/hospital stay, and complication rates. The GA group used more blood product. The rate of ICU readmission was greater in the GA group but did not reach statistical significance.
  
  
  CONCLUSIONS
  GA provides no significant advantages over MAC during TAVI.
authors.affiliation: University of Miami/Jackson Memorial Hospital, Miami, FL. Electronic address: Cpalermo@med.miami.edu.
authors.forename: Christopher
authors.initials: C
authors.lastname: Palermo
authors.affiliation: University of Miami/Jackson Memorial Hospital, Miami, FL.
authors.forename: Meredith
authors.initials: M
authors.lastname: Degnan
authors.affiliation: University of Miami/Jackson Memorial Hospital, Miami, FL.
authors.forename: Keith
authors.initials: K
authors.lastname: Candiotti
authors.affiliation: Jackson Memorial Hospital, Miami, FL.
authors.forename: Tomas
authors.initials: T
authors.lastname: Salerno
authors.affiliation: University of Miami/Jackson Memorial Hospital, Miami, FL.
authors.forename: Eduardo
authors.initials: E
authors.lastname: de Marchena
authors.affiliation: University of Miami/Jackson Memorial Hospital, Miami, FL.
authors.forename: Yiliam
authors.initials: Y
authors.lastname: Rodriguez-Blanco
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000700:Analgesics / Q000008:administration & dosage*; D000768:Anesthesia, General / Q000379:methods*; D018685:Anesthetics, Inhalation / Q000008:administration & dosage*; D018686:Anesthetics, Intravenous / Q000008:administration & dosage*; D000779:Anesthetics, Local / Q000008:administration & dosage*; D016022:Case-Control Studies; D020927:Dexmedetomidine; D004452:Echocardiography; D005045:Etomidate; D005260:Female; D005283:Fentanyl; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data; D008012:Lidocaine; D008297:Male; D008738:Methyl Ethers; D016343:Monitoring, Intraoperative / Q000379:methods*; D012189:Retrospective Studies; D018570:Risk Assessment; D000077149:Sevoflurane; D065467:Transcatheter Aortic Valve Replacement / Q000379:methods*; D016896:Treatment Outcome
chemical_list: D000700:Analgesics; D018685:Anesthetics, Inhalation; D018686:Anesthetics, Intravenous; D000779:Anesthetics, Local; D008738:Methyl Ethers; D000077149:Sevoflurane; D020927:Dexmedetomidine; D008012:Lidocaine; D005283:Fentanyl; D005045:Etomidate
keywords: CoreValve; delirium; propofol; transcatheter aortic valve implantation (TAVI)