Transcatheter aortic valve replacement
| Anesthesia type |
MAC vs. GA |
|---|---|
| Airway |
Natural airway vs. ETT |
| Lines and access |
2 large bore PIV + art line (left preferred) |
| Monitors |
Standard, ABP |
| Primary anesthetic considerations | |
| Preoperative | |
| Intraoperative | |
| Postoperative | |
| Article quality | |
| Editor rating | |
| User likes | 0 |
Provide a brief summary of this surgical procedure and its indications here.
Preoperative management
Patient evaluation
| System | Considerations |
|---|---|
| Neurologic | |
| Cardiovascular | |
| Respiratory | |
| Gastrointestinal | |
| Hematologic | |
| Renal | |
| Endocrine | |
| Other |
Labs and studies
Operating room setup
Patient preparation and premedication
Regional and neuraxial techniques
Intraoperative management
Monitoring and access
Arterial line prior to induction
Induction and airway management
Positioning
Supine, arms tucked
Maintenance and surgical considerations
For MAC cases, can consider either remifentanil 0.25mcg/kg/min titrated to effect or propofol 25mcg/kg/min titrated to effect
Emergence
Postoperative management
Disposition
Pain management
Potential complications
Complete heart block, stroke, MI, aortic dissection, contrast induced nephropathy, perivalvular leaks
Valvular access site issues: Groin seromas, femoral artery dissection, thrombosis with lower extremity ischemia, retroperitoneal hematoma
Transapical approach: new onset MR, pericardial effusion, pneumothorax, late apical rupture
Procedure variants
| Variant 1 | Variant 2 | |
|---|---|---|
| Unique considerations | ||
| Position | ||
| Surgical time | ||
| EBL | ||
| Postoperative disposition | ||
| Pain management | ||
| Potential complications |
References
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