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
收藏
页码：447 / 451
页数：5
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