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Awake transcatheter aortic valve replacement-an anesthesiologist's perspective
Jiapeng Huang1, Sheng Wang2, Jiakai Lu3
1Department of Anesthesia, Jewish Hospital and Department of Anesthesiology & Perioperative Medicine, University of Louisville, Louisville, KY, USA.
Journal of Visualized Surgery
|April 24, 2018
Summary
Monitored anesthesia care (MAC) for transcatheter aortic valve replacement (TAVR) offers similar outcomes to general anesthesia but with a shorter hospital stay. This review details a minimalist anesthesia approach for awake TAVR procedures.
Area of Science:
- Cardiology
- Anesthesiology
- Medical Technology
Background:
- Transcatheter aortic valve replacement (TAVR) is a standard treatment for severe aortic valve stenosis.
- Technological advancements have increased the safety and simplicity of TAVR procedures.
- Both general anesthesia (GA) and monitored anesthesia care (MAC) are employed for TAVR.
Purpose of the Study:
- To compare clinical outcomes and length of stay between GA and MAC for TAVR.
- To present a practical, minimalist anesthesia approach for awake TAVR.
Main Methods:
- Literature review of anesthesia techniques for TAVR.
- Description of a minimalist anesthesia protocol for awake TAVR.
Main Results:
- MAC/awake TAVR demonstrates comparable clinical outcomes to GA.
- MAC/awake TAVR is associated with a significantly reduced length of stay.
Conclusions:
- Awake TAVR using MAC is a safe and effective alternative to GA.
- Minimalist anesthesia protocols can facilitate successful awake TAVR, potentially improving patient recovery and resource utilization.