Transcarotid transcatheter aortic valve replacement utilizing monitored anesthesia care: a case report

被引：0

作者：

EL-Andari, Ryaan ^{[1
]}

Kang, Jimmy J. H. ^{[1
]}

Sidhu, Surita ^{[2
]}

Cwinn, Matthew ^{[3
]}

Green, James ^{[2
]}

Ma, Michael L. ^{[2
]}

Mathew, Anoop ^{[4
]}

Tyrrell, Benjamin D. ^{[4
]}

Welsh, Robert C. ^{[4
]}

Nagendran, Jeevan ^{[1
]}

机构：

[1] Univ Alberta, Dept Surg, Div Cardiac Surg, Edmonton, AB, Canada

[2] Univ Alberta, Dept Anesthesiol & Pain Med, Edmonton, AB T6G 2B7, Canada

[3] Univ Alberta, Dept Surg, Div Vasc Surg, Edmonton, AB, Canada

[4] Univ Alberta, Dept Med, Div Cardiol, Edmonton, AB, Canada

来源：

FUTURE CARDIOLOGY | 2024年 / 20卷 / 09期

关键词：

Alternate access TAVR; aortic valve; monitored anesthesia care; TAVR; transcarotid TAVR; transcatheter aortic valve replacement;

D O I：

10.1080/14796678.2024.2378648

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Transcatheter aortic valve replacement (TAVR) has become the standard of care for high surgical risk patients with aortic stenosis. The most common approach to TAVR is transfemoral utilizing monitored anesthesia care or general anesthesia. On occasion, transfemoral access is not possible and alternative access to TAVR is required. Herein, we describe the case of a patient undergoing a transcarotid approach to TAVR with regional anesthesia and monitored anesthesia care utilizing a multidisciplinary heart team. PLAIN LANGUAGE SUMMARY Transcatheter aortic valve replacement (TAVR) involves replacement of one of the valves of the heart through a minimally invasive procedure and has become the standard of care for high surgical risk patients with a narrowed aortic heart valve. The most common approach to TAVR is through one of the femoral arteries utilizing sedation monitored anesthesia care or general anesthesia. On occasion, transfemoral access is not possible and alternative access to TAVR is required. Herein, we describe the case of a patient undergoing a TAVR using the carotid artery with regional anesthesia and monitored anesthesia care utilizing a multidisciplinary heart team.

引用

页码：447 / 451

页数：5

共 15 条

[1] Conscious Sedation Versus General Anesthesia in Transcatheter Aortic Valve Replacement: A Cost and Outcome Analysis [J].

Ahmad, Mansoor ;

Patel, Jay N. ;

Vipparthy, Sharath C. ;

Divecha, Chirag ;

Barzallo, Pablo ;

Kim, Minchul ;

Schrader, Steven C. ;

Barzallo, Marco ;

Mungee, Sudhir .

CUREUS JOURNAL OF MEDICAL SCIENCE, 2019, 11 (06)

[2] Conscious Sedation Versus General Anesthesia for Transcatheter Aortic Valve Replacement Variation in Practice and Outcomes [J].

Butala, Neel M. ;

Chung, Mabel ;

Secemsky, Eric A. ;

Manandhar, Pratik ;

Marquis-Gravel, Guillaume ;

Kosinski, Andrzej S. ;

Vemulapalli, Sreekanth ;

Yeh, Robert W. ;

Cohen, David J. .

JACC-CARDIOVASCULAR INTERVENTIONS, 2020, 13 (11) :1277-1287

[3] Alternative access for transcatheter aortic valve replacement in older adults: A collaborative study from France and United States [J].

Damluji, Abdulla A. ;

Murman, Magdalena ;

Byun, Seunghwan ;

Moscucci, Mauro ;

Resar, Jon R. ;

Hasan, Rani K. ;

Alfonso, Carlos E. ;

Carrillo, Roger G. ;

Williams, Donald B. ;

Kwon, Christopher C. ;

Cho, Peter W. ;

Dijos, Marina ;

Peltan, Julien ;

Heldman, Alan W. ;

Cohen, Mauricio G. ;

Leroux, Lionel .

CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS, 2018, 92 (06) :1182-1193

[4] Transcarotid Transcatheter Aortic Valve Replacement General or Local Anesthesia [J].

Debry, Nicolas ;

Delhaye, Cedric ;

Azmoun, Alexandre ;

Ramadan, Ramzi ;

Fradi, Sahbi ;

Brenot, Philippe ;

Sudre, Arnaud ;

Moussa, Mouhamed Djahoum ;

Tchetche, Didier ;

Ghostine, Said ;

Mylotte, Darren ;

Modine, Thomas .

JACC-CARDIOVASCULAR INTERVENTIONS, 2016, 9 (20) :2113-2120

[5] Impact of Anesthesia Strategy and Valve Type on Clinical Outcomes After Transcatheter Aortic Valve Replacement [J].

Feistritzer, Hans-Josef ;

Kurz, Thomas ;

Stachel, Georg ;

Hartung, Philipp ;

Lurz, Philipp ;

Eitel, Ingo ;

Marquetand, Christoph ;

Nef, Holger ;

Doerr, Oliver ;

Vigelius-Rauch, Ursula ;

Lauten, Alexander ;

Landmesser, Ulf ;

Treskatsch, Sascha ;

Abdel-Wahab, Mohamed ;

Sandri, Marcus ;

Holzhey, David ;

Borger, Michael ;

Ender, Jorg ;

Ince, Huseyin ;

Oener, Alper ;

Meyer-Saraei, Roza ;

Hambrecht, Rainer ;

Wienbergen, Harm ;

Fach, Andreas ;

Augenstein, Thomas ;

Frey, Norbert ;

Koenig, Inke R. ;

Vonthein, Reinhard ;

Funkat, Anne-Kathrin ;

Berggreen, Astrid E. ;

Heringlake, Matthias ;

Desch, Steffen ;

De Waha-Thiele, Suzanne ;

Thiele, Holger .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2021, 77 (17) :2204-2215

[6] Aortic Stenosis: Pathophysiology, Diagnosis, and Therapy [J].

Joseph, Jessica ;

Naqvi, Syed Yaseen ;

Giri, Jay ;

Goldberg, Sheldon .

AMERICAN JOURNAL OF MEDICINE, 2017, 130 (03) :253-263

[7] Transfemoral Transcatheter Aortic Valve Replacement Using Fascia Iliaca Block as an Alternative Approach to Conscious Sedation as Compared to General Anesthesia [J].

Lau, Wei C. ;

Shannon, Francis L. ;

Hanzel, George S. ;

Safian, Robert D. ;

Abbas, Amr E. ;

Sakwa, Marc P. ;

Chen, Nai-Wei ;

Almany, Steven L. ;

Hanson, Ivan D. ;

Fayne, Randy J. .

CARDIOVASCULAR REVASCULARIZATION MEDICINE, 2020, 21 (05) :594-601

[8]

Lum MY, 2021, J INVASIVE CARDIOL, V33, pE108

[9] Non-transfemoral access sites for transcatheter aortic valve replacement [J].

Madigan, Mariah ;

Atoui, Rony .

JOURNAL OF THORACIC DISEASE, 2018, 10 (07) :4505-4515

[10] The Future of Alternative Access Approaches for TAVR [J].

Magruder, J. Trent ;

Holst, Kimberly A. ;

Thourani, Vinod H. .

INNOVATIONS-TECHNOLOGY AND TECHNIQUES IN CARDIOTHORACIC AND VASCULAR SURGERY, 2023, 18 (03) :229-231

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