Related Experiment Video

Updated: May 11, 2026

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
08:12

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels

Published on: May 26, 2023

Anesthetic management and complications of percutaneous aortic valve implantation

Tailur Alberto Grando1, Rogério Sarmento-Leite, Paulo Roberto Lunardi Prates

  • 1Center for Teaching and Training (CET), Society of Anesthesiology (SANE), Porto AlegreInstitute of Cardiology/Fundacao Universitaria de Cardiologia de Porto Alegre, Brazil. tailurgrando@gmail.com

Brazilian Journal of Anesthesiology (Elsevier)
|May 21, 2013
PubMed

Insights

General anesthesia for percutaneous aortic valve implantation in elderly patients with comorbidities is safe and effective. This anesthetic approach demonstrated no significant complications in the initial patient cohort.

Area of Science:

  • Cardiology
  • Anesthesiology
  • Medical Devices

Background:

  • Aortic stenosis is a common and serious condition, particularly in elderly patients with other health issues.
  • Percutaneous valve implantation offers a treatment option for these high-risk patients.
  • General anesthesia is frequently used for this procedure.

Purpose of the Study:

  • To detail the anesthetic management strategies employed.
  • To document any complications associated with general anesthesia during the procedure.
  • To evaluate the safety and efficacy of this anesthetic approach.

Main Methods:

  • A case series of 28 patients undergoing CoreValve implantation between 2008 and 2012.
  • General anesthesia was administered and monitored using various physiological parameters.
  • Comprehensive follow-up at 30 days and 24 months post-procedure was conducted.

Main Results:

  • Successful valve implantation was achieved in all patients (mean age 82.46 years).
  • Nine patients required permanent pacemaker implantation.
  • Two perioperative deaths occurred; one during surgery and one on day three. One late death occurred at 24 months.

Conclusions:

  • Percutaneous aortic valve implantation under general anesthesia is a safe and effective procedure.
  • The initial experience showed no significant anesthetic-related complications.
  • This approach is a viable option for selected elderly patients with aortic stenosis.
Abstract

More Related Videos

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement14:14

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement

Published on: December 11, 2017

Related Concept Videos

Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
Cardiac Catheterization IV: Nursing Management01:26

Cardiac Catheterization IV: Nursing Management

Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
Cardiomyopathy VII: Pre and Post Operative Nursing Management01:28

Cardiomyopathy VII: Pre and Post Operative Nursing Management

Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
Cardiac Catheterization I: Pre-Procedure Overview01:28

Cardiac Catheterization I: Pre-Procedure Overview

Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
Mitral Stenosis IV: Nursing Management01:27

Mitral Stenosis IV: Nursing Management

A comprehensive nursing assessment is essential for patients with valvular heart disease, which involves any dysfunction of the heart valves that could impact blood flow and overall heart function.Subjective Data Collection:Chief Complaint and Present Illness: Start with the patient's primary concerns, focusing on the onset, duration, and progression of cardiac symptoms such as dyspnea, fatigue, chest pain, and palpitations.Past Medical History: Collect detailed information on any previous...