Τίτλος:
Cardio-anesthesiology considerations for the trans-catheter aortic valve implantation (TAVI) procedure
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
Transcatheter aortic valve implantation (TAVI) has become the mainstay for highrisk or inoperable patients with symptomatic aortic valve stenosis, and research regarding the use of transcatheter valves in intermediate or low-risk patients is currently ongoing. The aim of this article is to provide comprehensive insight into the anesthetic management of patients undergoing TAVI and to highlight possible gaps in the current knowledge. One important procedural characteristic that is imperative to consider is the type of anesthesia being used and its possible complications. Increasingly, experienced centers have changed from general anesthesia with endotracheal intubation to local anesthesia with sedation, especially when the transfemoral access route is used for TAVI. There is still debate regarding what type of anesthesia should be used in the procedure, and the lack of randomized data makes it even more challenging for the operators © 2016 Hellenic Society of Cardiology.
Συγγραφείς:
Melidi, E.
Latsios, G.
Toutouzas, K.
Vavouranakis, M.
Tolios, I.
Gouliami, M.
Gerckens, U.
Tousoulis, D.
Περιοδικό:
Ελληνική καρδιολογική επιθεώρηση
Εκδότης:
Hellenic Cardiological Society
Λέξεις-κλειδιά:
acetylsalicylic acid; clopidogrel; piperacillin; tazobactam; vancomycin, acute kidney failure; anesthesiology; aortic valve stenosis; blood gas; blood pressure monitoring; capnometry; computer assisted tomography; coronary angiography; echocardiography; endotracheal intubation; EuroSCORE; general anesthesia; human; kidney function; mortality; pulse oximetry; randomized controlled trial (topic); Review; transcatheter aortic valve implantation; valvuloplasty; anesthesia; aortic valve stenosis; local anesthesia; postoperative complication; procedures; transcatheter aortic valve implantation, Anesthesia; Anesthesia, General; Anesthesia, Local; Aortic Valve Stenosis; Humans; Postoperative Complications; Transcatheter Aortic Valve Replacement
DOI:
10.1016/j.hjc.2016.10.001
