Anesthetic Considerations for the Transcatheter Management of Mitral Valve Disease.
J Cardiothorac Vasc Anesth
; 33(3): 796-807, 2019 Mar.
Article
em En
| MEDLINE
| ID: mdl-30064851
ABSTRACT
The development of transcatheter interventions to provide a minimally invasive alternative to open surgical repair has revolutionized the care of patients with valvular heart disease. Recently, this technology has been expanded to allow for the treatment of pathology of the mitral valve. This review discusses the anesthetic considerations for patients presenting for transcatheter management of mitral valve disease, including transcatheter mitral valve replacement (TMVR) and transcatheter mitral valve repair (TMVRep). The initial focus is on the current literature on transcatheter interventions for mitral valve pathologies as well as current and developing technology for TMVR and TMVRep. The authors' institutional experience with anesthetic management for the TMVR and TMVRep procedures is described, including potential pitfalls and complications, concluding with a discussion of the role of transesophageal echocardiography in the care of this patient population.
Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Estenose da Valva Aórtica
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Cateterismo Cardíaco
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Anestesia
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Anestésicos
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Insuficiência da Valva Mitral
Limite:
Humans
Idioma:
En
Ano de publicação:
2019
Tipo de documento:
Article