Neuraxial Anesthesia in Patients With Aortic Stenosis: A Systematic Review
Authors' conclusion
The authors' data suggested that NA may not be contraindicated in carefully selected patients with AS.
Study context
- Population
- Patients with aortic stenosis who exclusively received neuraxial anesthesia
- Participants
- 3,228 patients · 61 studies
- Comparison
- Noncardiac vs Obstetric vs Cardiac
- Noncardiacn = 3,146
- Obstetricn = 69
- Cardiacn = 13
- Outcome
- Intraoperative and postoperative complications
Methodological detailsdescriptive synthesis (no meta-analysis due to heterogeneity), Significant data heterogeneity prevented formal metanalysis; descriptive data presented
- Descriptive synthesis (no meta-analysis due to heterogeneity)
- Significant data heterogeneity prevented formal metanalysis; descriptive data presented
Pooled result
As reported in the abstract
Hypotension requiring vasopressors (most common intraoperative complication)
Further pooled results
Neuraxial technique
- Spinal block
- n = 2,856, 88.5%
- Epidural anesthesia
- n = 397, 12.3%
Original publication
Neuraxial Anesthesia in Patients With Aortic Stenosis: A Systematic Review. J Cardiothorac Vasc Anesth. Published 24 September 2023. doi:10.
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