Expert recommendations for standardized perioperative management after transapical transcatheter aortic valve implantation
- VernacularTitle:心尖途径经导管主动脉瓣置换术围术期管理规范专家建议
- Author:
Haibo ZHANG
1
;
Xiaotong HOU
2
;
Yingqiang GUO
3
Author Information
1. Heart Surgery Valve Center, Beijing Anzhen Hospital Affiliated to Capital Medical University, Beijing, 100029, P. R. China
2. Department of Intensive Care, Beijing Anzhen Hospital Affiliated to Capital Medical University, Beijing, 100029, P. R. China
3. Department of Cardiovascular Surgery, West China Hospital of Sichuan University, Chengdu, 610041, P. R. China
- Collective Name:Writting Group of Procedure Specifications for TA-TAVR
- Publication Type:Journal Article
- Keywords:
Transcatheter aortic valve implantation;
transapical approach;
aortic valve regurgitation;
perioperative management
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2023;30(07):927-935
- CountryChina
- Language:Chinese
-
Abstract:
The technique of transcatheter aortic valve implantation has become increasingly mature. Although the transapical approach has a certain degree of minimally invasive trauma, it still has the characteristics such as heart beating without cardiopulmonary bypass, and the low technical requirements of catheter guide wire. In particular, the valve path is short and coaxial, which is easy to manipulate, and pure regurgitation and stenosis can be easily operated and are not subject to the limit of peripheral artery stenosis. It is still one of China's main approaches for transcatheter aortic valve replacement. Its perioperative management still has specific features and differs from the femoral artery approach. In addition, there is little relevant literature abroad. Therefore, domestic experts in this field were organized to discuss the development of perioperative management specifications to provide reference and techniques support for developing this field in China and further improve the quality of clinical operation and perioperative management. It will provide more safe and more effective medical services to these patients.
