A Practical Approach to Managing Transcatheter Aortic Valve Replacement With Sedation

Seminars in Cardiothoracic and Vascular Anesthesia
Peter J NeuburgerMathew Russell Williams

Abstract

Transcatheter aortic valve replacement is increasingly performed as a minimally invasive treatment option for aortic valve disease. The typical anesthetic management for this procedure was traditionally similar to surgical aortic valve replacement and involved general anesthesia and transesophageal echocardiography. In this review, we discuss the technological advances in transcatheter valve systems that have improved outcomes and allow for use of sedation instead of general anesthesia. We describe an anesthetic protocol that avoids general anesthesia and utilizes transthoracic echocardiography for procedural guidance.

References

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Citations

Sep 12, 2018·International Anesthesiology Clinics·Thomas Mader, Jennie Ngai
May 1, 2020·Seminars in Cardiothoracic and Vascular Anesthesia·Nathan ClendenenNathaen Weitzel
Aug 10, 2021·Journal of Cardiothoracic and Vascular Anesthesia·Liliya PospishilPeter J Neuburger

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Methods Mentioned

BETA
sedation
dissection

Software Mentioned

R
STS Risk Calculator
TCVT
Evolut

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