General Anesthesia Versus Sedation for Implantation of a Biventricular Pacing Device for Cardiac Resynchronization Therapy

Objective Heart failure carries significant risk for major noncardiac surgery. Whether this risk is transferable to minor surgery is less well-documented. Thus, the aim of this study was to assess the outcome of a contemporary cohort of heart failure patients undergoing cardiac resynchronization the...

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Bibliographic Details
Published in:Journal of cardiothoracic and vascular anesthesia 2014-04, Vol.28 (2), p.280-284
Main Authors: Theron, Paul, MBChB, FRCA, Guha, Kaushik, MBBS, BSc(Hons), MRCP, Mantziari, Lilian, MD, PhD, Salahuddin, Salman, MD, DM, Sharma, Rakesh, MBBS(Hons), BSc(Hons), MRCP, PhD, Jaggar, Sian, MBBS, BSc, FRCA, FFPMRCA, MD, CertMedEd
Format: Article
Language:English
Subjects:
Aged
Anesthesia & Perioperative Care
Anesthesia, General - methods
biventricular pacing
Cardiac Pacing, Artificial - methods
cardiac resynchronization therapy
Cardiac Resynchronization Therapy - methods
Cardiac Resynchronization Therapy - mortality
Cardiac Resynchronization Therapy Devices
Cohort Studies
Conscious Sedation - methods
Critical Care
Critical Care - statistics & numerical data
Endpoint Determination
Female
general anesthesia
heart failure
Heart Failure - surgery
Hospital Mortality
Humans
Hypotension - chemically induced
Hypotension - epidemiology
Length of Stay
Male
Middle Aged
Retrospective Studies
sedation
Treatment Outcome
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Summary:Objective Heart failure carries significant risk for major noncardiac surgery. Whether this risk is transferable to minor surgery is less well-documented. Thus, the aim of this study was to assess the outcome of a contemporary cohort of heart failure patients undergoing cardiac resynchronization therapy (CRT) device insertion under general anesthesia or sedation. Design Retrospective observational study. Setting Tertiary cardiac specialist hospital. Participants Heart failure patients. Interventions CRT insertion under general anesthesia or sedation. Measurements and Main Results Anesthesia, heart failure, and outcome data were collected on a consecutive series of patients having CRT device insertion between 2002 and 2010. A total of 242 patients were managed by the anesthesia department during the study period. After exclusion criteria were applied, data for 183 patients were analyzed. Immediate perioperative (
ISSN:1053-0770
1532-8422
DOI:10.1053/j.jvca.2013.07.008