经颈动脉经导管主动脉瓣置换术采用监测麻醉护理：病例报告。
Transcarotid transcatheter aortic valve replacement utilizing monitored anesthesia care: a case report.
机构信息
Division of Cardiac Surgery, Department of Surgery, University of Alberta, Edmonton, Alberta, Canada.
Department of Anesthesiology & Pain Medicine, University of Alberta, Edmonton, Alberta, T6G 2B7, Canada.
出版信息
Future Cardiol. 2024;20(9):447-451. doi: 10.1080/14796678.2024.2378648. Epub 2024 Sep 23.
Abstract
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.
摘要
经导管主动脉瓣置换术（TAVR）已成为主动脉瓣狭窄高危手术风险患者的标准治疗方法。TAVR 最常见的方法是经股动脉入路，采用监测麻醉或全身麻醉。有时，经股动脉入路不可行，需要采用替代方法进行 TAVR。在此，我们描述了一位患者在心外科多学科心脏团队的协助下，采用区域麻醉和监测麻醉进行经颈动脉 TAVR 入路的病例。
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