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Percutaneous aortic valvuloplasty procedure and implications for nursing
L Nichols1, J M Love, R P Orenchuk
1Mount Carmel Medical Center, Columbus, Ohio.
Insights
Percutaneous transluminal aortic balloon valvuloplasty (PTABV) offers benefits for elderly patients or surgical risks with severe aortic stenosis. Common complications include bleeding and vagal reactions, requiring careful nursing monitoring and management.
Area of Science:
- Cardiology
- Interventional Cardiology
- Nursing
Background:
- Severe calcific aortic stenosis poses significant risks.
- Percutaneous transluminal aortic balloon valvuloplasty (PTABV) is an alternative for high-risk patients.
- Literature review highlights PTABV's utility in specific patient groups.
Observation:
- PTABV is performed in the cardiac catheterization laboratory.
- Elderly patients and surgical non-candidates benefit from PTABV.
- Common complications include bleeding and vagal reactions.
Findings:
- PTABV is a valuable intervention for severe calcific aortic stenosis.
- Patient selection is crucial for successful outcomes.
- Effective nursing care is essential for managing complications.
Implications:
- Nursing care focuses on patient comfort and monitoring.
- Key nursing diagnoses include risk for injury, altered cardiac output, and infection.
- Vigilant monitoring of vital signs and vascular integrity is paramount post-procedure.
Abstract:
Percutaneous transluminal aortic balloon valvuloplasty (PTABV) is a procedure performed in the cardiac catheterization laboratory for some patients with severe calcific aortic stenosis. A review of the literature indicated that the procedure was beneficial to elderly patients or those who were poor candidates for surgery. The common complications of PTABV include bleeding at the catheterization site and vagal reactions during groin compression. Nursing implications in the cardiac catheterization laboratory involve ensuring patient comfort, managing the effects of cardiac instrumentation, and monitoring vital signs and vascular integrity. Post-PTABV nursing diagnoses include: (1) potential for injury or hemorrhage, (2) potential for alteration in cardiac output, (3) potential for alteration in tissue perfusion, (4) alteration in comfort, (5) potential for infection, and (6) knowledge deficits.