Submitted: 08 Jun 2016
Revised: 09 Jun 2016
Accepted: 13 Jun 2016
First published online: 28 Jun 2016
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J Cardiovasc Thorac Res. 2016;8(2):49-55.
doi: 10.15171/jcvtr.2016.10
PMID: 27489596
PMCID: PMC4970570
  Abstract View: 640
  PDF Download: 944

Review Article

Periprocedural considerations of transcatheter aortic valve implantation for anesthesiologists

Ata Hassani Afshar 1, Leili Pourafkari 2,1, Nader D Nader 1 *

1 Department of Anesthesiology, University at Buffalo, Buffalo, NY, USA
2 Cardiovascular Research Center, Tabriz University of Medical Sciences, Tabriz, Iran

Abstract

Transcatheter aortic valve replacement (TAVR) is rapidly gaining popularity as a viable option in the management of patients with symptomatic aortic stenosis (AS) and high risk for open surgical intervention. TAVR soon expanding its indications from "high-risk" group of patients to those with "intermediate-risk". As an anesthesiologist; understanding the procedure and the challenges inherent to it is of utmost importance, in order to implement optimal care for this generally frail population undergoing a rather novel procedure. Cardiac anesthesiologists generally play a pivotal role in the perioperative care of the patients, and therefore they should be fully familiar with the circumstances occurring surrounding the procedure. Along with increasing experience and technical developments for TAVR, the procedure time becomes shorter. Due to this improvement in the procedure time, more and more anesthesiologists feel comfortable in using monitored anesthesia care with moderate sedation for patients undergoing TAVR. A number of complications could arise during the procedure needing rapid diagnoses and occasionally conversion to general anesthesia. This review focuses on the periprocedural anesthetic considerations for TAVR.
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