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  • Title: [Anesthesia for transcatheter aortic valve implantation].
    Author: Iritakenishi T.
    Journal: Masui; 2012 Nov; 61(11):1183-91. PubMed ID: 23236924.
    Abstract:
    Surgical aortic valve replacement (SAVR) which requires cardiopulmonary bypass (CPB) is still the gold standard for treatment of aortic stenosis (AS). But for elderly patients with severe AS and coexisting conditions, invasive surgery with CPB may lead to organ dysfunction and life-threatening complications. Transcatheter aortic valve replacement (TAVR) is a novel treatment for AS. TAVR is performed by catheter techniques, which do not require sternotomy, CPB, and cardiac arrest, and are less invasive than SAVR. That is why TAVR is considered quite suitable for such patients at high risk. Anesthesiologists managing TAVR should aim at fast-track anesthesia in order to make the most of the minimal invasiveness of TAVR by stabilizing circulations and respiratory conditions, keeping body temperature, and controlling postoperative pain.
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