Table 1.
Characteristics and comorbidities of patients with hereditary hemorrhagic telangiectasia (HHT) undergoing general anesthesia
Patients (n = 74) | |
---|---|
Male sex | 30 (40.5) |
Body mass index (kg m−2) | 26.9 ± 6.9 |
ASA-PS | 3 [2, 4] |
Adult patients | 65 (87.8) |
Age at first surgery (years) | 55.4 [20.0, 86.1] |
Pediatric patients | 9 (12.2) |
Age at first surgery (years) | 7.2 [0.7, 13.9] |
Range at first surgery (years) | 0.7–13.9 |
Curacao score | |
Definite HHT (Curacao score >2) | 59 (79.7) |
Suspected HHT (Curacao score = 2) | 15 (20.3) |
Spontaneous and recurrent epistaxis | 67 |
Multiple mucocutaneous telangiectasias | 60 |
Visceral involvement | 67 |
First-degree relative with HHT | 47 |
Cardiovascular disease | 28 (37.8)a |
Coronary artery disease | 7 |
Heart failure | 17 |
Left ventricular failure | 3 |
Right ventricular failure | 3 |
High-output failure | 11 |
Valvular disease | 4 |
Atrial fibrillation | 12c |
Pulmonary disease | 51 (68.9)a |
Arteriovenous malformation | 42 |
Pulmonary hypertension | 11 |
Home oxygen | 2 |
Pulmonary embolism history | 7 |
Moderate–severe COPD | 6 |
Home oxygen | 2 |
Neurological disease | 16 (21.6)a |
Arteriovenous malformation | 7b |
Brain abscess | 1 |
Cerebral hemorrhage | 2 |
Stroke or transient ischemic attack | 7 |
Seizure disorder | 2 |
Encephalopathy | 1 |
Hepatic disease | 29 (39.2)a |
Arteriovenous malformation | 25 |
Cirrhosis/portal hypertension | 4 |
Gastrointestinal bleed | 25 (33.8) |
Iron deficiency anemia | 48 (64.7) |
End-stage kidney disease | 2 (2.7) |
Data presented at number of patients (percentage), mean ± standard deviation for continuous variables, or median [range] [interquartile range] for nonparametric variables
HHT hereditary hemorrhagic telangiectasia, ASA-PS American Society of Anesthesiologists physical status, COPD chronic obstructive lung disease
Patients may have multiple conditions per organ system class
Seven patients had arteriovenous malformations of the brain and one also of the thoracic spine
Atrial fibrillation was only found in adult patients, of which 5 had congestive heart failure, 4 valvular disease, 3 pulmonary hypertension, and 10 iron deficiency anemia