Letter by Sniecinski et al Regarding Article, “Conscious Sedation Versus General Anesthesia for Transcatheter Aortic Valve Replacement: Insights from the National Cardiovascular Data Registry Society of Thoracic Surgeons/American College of Cardiology Transcatheter Valve Therapy Registry”
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To the Editor:
We read with interest the recent article by Hyman et al1 investigating the association between anesthesia type and mortality in patients undergoing transcatheter aortic valve replacement. Using data from the Society of Thoracic Surgeons/American College of Cardiologists Transcatheter Valve Therapy Registry, they concluded that conscious sedation provided “superior clinical outcomes compared to TAVR [transcatheter aortic valve replacement] with general anesthesia.”1 We applaud the authors for attempting to investigate this issue, but we have concerns about potential limitations of anesthetic information contained within this registry.
The Transcatheter Valve Therapy Registry was created in collaboration with the US Food and Drug Administration as a repository and reporting mechanism …