Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Transcarotid transcatheter aortic valve replacement (Transcarotid TAVR) has been increasingly used as an alternative to the transfemoral approach. The general anesthesia, locoragional anesthesia or local anesthesia are three anesthesia techniques that can be used for transcarotid TAVR. We aim to compare the locoregional approach to gerneral anesthesia.
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| General anesthesia | Patients undergoing transcarotid transaortic valve replacement under general anesthesia | ||
| Regional anesthesia | Patients undergoing transcarotid transaortic valve replacement under regional anesthesia |
Not provided
| Measure | Description | Time Frame |
|---|---|---|
| Primary endpoint | Composite endpoint combining mortality and stroke in the first post-operative week | 7 days |
| Measure | Description | Time Frame |
|---|---|---|
| Death | Death occuring during the first week after intervention | 7 days |
| Stroke | Stroke occuring during the first week after the intervention |
| Measure | Description | Time Frame |
|---|---|---|
| Pacemaker implantation | Pacemaker implantation during the index hospitalisation | 7 to 30 days |
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Adult patients who underwent a transcarotid TAVR at the University Hospital of Caen between October 2021 (when the first TAVR was performed under locoregional anesthesia) and December 2024
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Richard DESCAMPS, MD | Contact | descamps-r@chu-caen.fr |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| ID | Term |
|---|---|
| D001024 | Aortic Valve Stenosis |
| ID | Term |
|---|---|
| D000082862 | Aortic Valve Disease |
| D006349 | Heart Valve Diseases |
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
Not provided
Not provided
Not provided
Not provided
Not provided
| 7 days |
| 30 day mortality | Death occuring during the first month after intervention | 30 days |
| 1 year mortality | Death occuring during the first year after intervention | 1 year |
| Vasopressive drugs | Use of vasopressive drugs during the intervention | 1 day |
| D014694 |
| Ventricular Outflow Obstruction |