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. 2018 Mar 1:4:44.
doi: 10.21037/jovs.2018.01.17. eCollection 2018.

Awake transcatheter aortic valve replacement-an anesthesiologist's perspective

Jiapeng Huang  1 , Sheng Wang  2 , Jiakai Lu  3
Affiliations

Awake transcatheter aortic valve replacement-an anesthesiologist's perspective

Jiapeng Huang et al. J Vis Surg. .

Abstract

Transcatheter aortic replacement has become the standard of care for patients with severe aortic valve stenosis. With advancement of technologies, this technique has become much safer and simpler. Both general anesthesia (GA) and monitored anesthesia care (MAC) have been provided for transcatheter aortic valve replacement (TAVR). MAC or awake transcatheter valve replacement was shown to carry similar clinical outcomes with significantly reduced length of stay. We reviewed the literature and presented our practical minimalist anesthesia approach to awake TAVR.

Keywords: Anesthesia; outcome; transcatheter aortic valve replacement (TAVR).

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Conflict of interest statement

Conflicts of Interest: The authors have no conflicts of interest to declare.

Figures

Figure 1
Figure 1
Transvenous pacemaker and pacing box used for TAVR. TAVR, transcatheter aortic valve replacement.
Figure 2
Figure 2
Prepared medications for awake TAVR. TAVR, transcatheter aortic valve replacement.
Figure 3
Figure 3
A true awake transcatheter aortic valve replacement (8). Available online: http://asvidett.amegroups.com/article/view/23014
Figure 4
Figure 4
Parasternal long axis view to assess valve position and perivalvular leak by transthoracic echocardiography (9). Available online: http://asvidett.amegroups.com/article/view/23016
Figure 5
Figure 5
Apical four chamber view to assess valve position and perivalvular leak by transthoracic echocardiography (10). Available online: http://asvidett.amegroups.com/article/view/23017
See this image and copyright information in PMC

References

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