Anesthesia management for 70 patients with transapical transcatheter aortic valve implantation surgery
10.7507/1007-4848.201711035
- VernacularTitle:70 例心尖入路经导管主动脉瓣植入术患者的麻醉管理
- Author:
XU Zhao
1
;
QIU Jingxuan
1
;
ZHU Da
2
;
CHEN Yucheng
3
;
GUO Yingqiang
2
;
NI Hefeng
4
;
LIANG Peng
1
Author Information
1. Department of Anesthesiology, West China Hospital, Sichuan University, Chengdu, 610041, P.R.China
2. Department of Cardiovascular Surgery, West China Hospital, Sichuan University, Chengdu, 610041, P.R.China
3. Department of Cardiology, West China Hospital, Sichuan University, Chengdu, 610041, P.R.China
4. Operating Room, West China Hospital, Sichuan University, Chengdu, 610041, P.R.China
- Publication Type:Journal Article
- Keywords:
Transapical approach;
transcatheter aortic valve implantation;
anesthesia management
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2018;25(8):701-706
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the key points of anesthesia for patients undergoing transcatheter aortic valve implantation (TAVI) surgery. Methods We retrospectively collected and analyzed the data of 70 patients who underwent TAVI in the Department of Cardiovascular Surgery, West China Hospital from March 2014 to October 2015. There were 39 males and 31 females with an average age of 73.7±4.5 years. The perioperative preparation and anesthesia points of TAVI were summarized. Results All of the 70 included patients were aged and at high risk severe comorbidities such as ischemic heart disease and stroke. The aortic stenosis and regurgitation occurred in 39 and 31 patients respectively. No patients died during the surgery. The total success rate was 95.7%. Conclusion TAVI is a complex procedure for high risk patients and need more attention during anesthesia. The successful conduction of the procedure requires the whole team to prepare carefully and cooperate closely.
