Deep sedation vs. general anesthesia for transcatheter tricuspid valve repair.

Background

Transcatheter tricuspid valve repair (TTVr) is routinely performed under general anesthesia (GA). This study aimed to investigate whether TTVr procedures can be performed effectively and safely without GA but using deep sedation (DS).

Methods

We performed a retrospective analysis of 104 patients from three centers who underwent TTVr between 2020 and 2021. The primary performance endpoints were technical success and severity of TR assessed at the time of discharge. The safety outcome was a composite of in-hospital complications, including occurrence of death, conversion to surgery, major adverse cardiac and cerebrovascular events, major vascular complications, or occurrence of pneumonia.

Results

Sixty-four procedures were performed in GA and 40 procedures were performed in DS. The groups did not differ in age, EuroScore II, TR severity, ventricular function, or hemodynamic parameters. Technical success was achieved in 92.5% of the patients in the DS group and in 93.6% of the patients in the GA group (

Conclusion

Performing TTVr in DS was effective with similar procedural results, and was safe with similar low complication rates compared to GA.

Informations de copyright

Copyright © 2022 Haurand, Kavsur, Ochs, Tanaka, Iliadis, Sugiura, Kelm, Nickenig, Baldus, Westenfeld, Becher, Pfister and Horn.

Déclaration de conflit d'intérêts

GN and SB have received research grants and speaker honoraria from Abbott, outside the submitted work. RP, CI, and PH have received travel support from Abbott, outside the submitted work. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. The reviewer TR declared a past collaboration with one of the authors RP to the handling editor.