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 OJAnes  Vol.5 No.10 , October 2015
Comments on the Article “Improved Hemodynamics with the Use of Prophylactic Infusion of Epinephrine and or Norepinephrine during Transcatheter Aortic Valve Replacement (TAVR)”
Carlos Galhardo Jr.1, Carlos Darcy Alves Bersot2
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Abstract: Transcatheter aortic valve replacement (TAVR) is a new therapeutic option to treat patients with symptomatic severe aortic stenosis, and a prohibitive mortality risk for conventional surgical AVR2. A thorough understanding of the procedural steps involved in TAVR is imperative for all components of the heart time. Balloon aortic valvuloplasty under rapid ventricular pacing is one of the main procedural steps, and is usually performed before valve insertion to enable passage of the prosthesis through the stenotic native aortic valve. Hemodynamic collapse necessitating prompt intervention may occur at different stages during the procedure.
Keywords: Cardiovascular, Anesthesia, Surgery, Hemodynamics Control
Cite this paper: Galhardo Jr., C. and Alves Bersot, C. (2015) Comments on the Article “Improved Hemodynamics with the Use of Prophylactic Infusion of Epinephrine and or Norepinephrine during Transcatheter Aortic Valve Replacement (TAVR)”. Open Journal of Anesthesiology, 5, 217-218. doi: 10.4236/ojanes.2015.510039.
References

[1]   Bethune, W., Konstadt, S., Trunfio, G., Belliveau, L., Kronenfeld, M., Keilin, C. and Feierman, D.E. (2015) Improved Hemodynamics with the Use of Prophylactic Infusion of Epinephrine and/or Norepinephrine during Transcatheter Aortic Valve Replacement (TAVR). Open Journal of Anesthesiology, 5, 130-134.
http://dx.doi.org/10.4236/ojanes.2015.56024

[2]   Nishimura, R.A., Otto, C.M., Bonow, R.O., et al. (2014) AHA/ACC Guideline for the Management of Patient with Valvular Heart Disease. Journal of the American College of Cardiology, 63, e57-e185.
http://dx.doi.org/10.1016/j.jacc.2014.02.536

[3]   Murphy, J.J. (1996) Current Practice: Complications of Temporary Transvenous Cardiac Pacing. BMJ, 312, 1134.
http://dx.doi.org/10.1136/bmj.312.7039.1134

[4]   Holmes Jr., D.R., Mack, M.J., Kaul, S., et al. (2012) ACCF/AATS/SCAI/STS Expert Consensus Document on Transcatheter Aortic Valve Replacement. The Journal of Thoracic and Cardiovascular Surgery, 144, e29-e84.
http://dx.doi.org/10.1016/j.jtcvs.2012.03.001

[5]   Fassl, J., Walther, T., Groesdonk, H.V., et al. (2009) Anesthesia Management for Transapical Transcatheter Aortic Valve Implantation: A Case Series. Journal of Cardiothoracic and Vascular Anesthesia, 23, 286-291.
http://dx.doi.org/10.1053/j.jvca.2008.12.026

 
 
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