The Minimalist Approach for Transcatheter Aortic Valve Replacement in High-Risk Patients

被引：20

作者：

Dvir, Danny

Jhaveri, Rajiv ^{[1
]}

Pichard, Augusto D. ^{[1
]}

机构：

[1] Washington Hosp Ctr, Dept Anesthesia, Washington, DC 20010 USA

来源：

JACC-CARDIOVASCULAR INTERVENTIONS | 2012年 / 5卷 / 05期

关键词：

conscious sedation; general anesthesia; transcatheter aortic valve replacement; ANESTHESIA; EXPERIENCE;

D O I：

10.1016/j.jcin.2012.01.019

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The Rouen Group needs to be congratulated for an impressive series of transcatheter aortic valve replacement (TAVR) cases performed with the "minimalist approach": no general anesthesia (GA), no transesophageal echocardiography (TEE) guidance. Almost exactly 1 decade ago, in April 2002, Professor Alain Cribier led the first human TAVR performed in a compassionate case and did it with the patient under conscious sedation (CS) and local anesthesia (1). Aortic valve implantation with a percutaneous approach obviates the need for sternotomy, cardiopulmonary bypass, and manipulation of the ascending aorta. This approach might also eliminate the need for tracheal intubation and GA.

引用

收藏

页码：468 / 469

页数：2

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