Anesthetic Considerations for the Transcatheter Management of Mitral Valve Disease.


Journal

Journal of cardiothoracic and vascular anesthesia
ISSN: 1532-8422
Titre abrégé: J Cardiothorac Vasc Anesth
Pays: United States
ID NLM: 9110208

Informations de publication

Date de publication:
Mar 2019
Historique:
received: 09 02 2018
pubmed: 2 8 2018
medline: 8 6 2019
entrez: 2 8 2018
Statut: ppublish

Résumé

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.

Identifiants

pubmed: 30064851
pii: S1053-0770(18)30387-2
doi: 10.1053/j.jvca.2018.05.054
pii:
doi:

Substances chimiques

Anesthetics 0

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

796-807

Informations de copyright

Copyright © 2018 Elsevier Inc. All rights reserved.

Auteurs

Stephen H Gregory (SH)

Department of Anesthesiology, Washington University, St. Louis, MO. Electronic address: stephenhgregory@gmail.com.

Nishtha Sodhi (N)

Cardiovascular Division, Department of Internal Medicine, Washington University, St. Louis, MO.

Jonathan K Zoller (JK)

Department of Anesthesiology, Washington University, St. Louis, MO.

Nishath Quader (N)

Cardiovascular Division, Department of Internal Medicine, Washington University, St. Louis, MO.

Clare H Ridley (CH)

Department of Anesthesiology, Washington University, St. Louis, MO.

Hersh S Maniar (HS)

Division of Cardiothoracic Surgery, Department of Surgery, Washington University, St. Louis, MO.

John M Lasala (JM)

Cardiovascular Division, Department of Internal Medicine, Washington University, St. Louis, MO.

Alan Zajarias (A)

Cardiovascular Division, Department of Internal Medicine, Washington University, St. Louis, MO.

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Classifications MeSH