Investigation and analysis of operations, intraoperative instruments and nursing status of transcatheter aortic valve replacement in China
- VernacularTitle:中国经导管主动脉瓣置换术手术方式、术中使用器械及护理现状调查分析
- Author:
Li ZHU
1
;
Bingchen XU
1
;
Wenzhi PAN
1
;
Jianhao JIN
1
;
Guihua HOU
2
;
Junbo GE
1
Author Information
1. Department of Cardiology, Cardiovascular Intervention Center, Zhongshan Hospital Fudan University, Shanghai, 200032, P. R. China
2. Department of Cardiology, Peking University First Hospital, Beijing, 100034, P. R. China
- Publication Type:Journal Article
- Keywords:
Transcatheter aortic valve replacement;
complications;
instruments;
nursing
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2022;29(02):238-244
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the operation of transcatheter aortic valve replacement (TAVR), the use of TAVR instruments and the current situation of TAVR-related nursing in our country, to reveal the characteristics of TAVR in various hospitals in our country, and to provide reference data for improving perioperative nursing and industry development of TAVR. Methods A questionnaire survey was conducted among the head nurses of the cardiac catheterization laboratories of 51 hospitals in China that carried out TAVR operations, with a total of 5 items and 23 questions. The current situation of TAVR operation methods, intraoperative instruments and nursing care in China were analyzed. Results The number of hospitals in China which started conducting TAVR and the beginning year were: 2 in 2010, 1 in 2012, 1 in 2013, 1 in 2015, 11 in 2016, 13 in 2017, 15 in 2018 and 7 in 2019; the number of transfemoral TAVR in 2019: 32 (62.75%) hospitals conducted on less than 20 patients, 7 (13.73%) hospitals 20-<50 patients, 6 (11.76%) hospitals 50-100 patients and 6 (11.76%) hospitals more than 100 patients; TAVR strategies adopted by most hospitals were: general anesthesia (90.20%), the use of vascular sealers (80.39%), backing by cardiac surgeon (74.51%) and using homemade prosthetic valves. Conclusion At present, the number of TAVR carried out in Chinese hospitals is still far behind that of developed countries in Europe and the United States. Our country has adopted the form of multi-disciplinary cardiac team cooperation and formed a TAVR nursing model with Chinese characteristics.
