国际麻醉学与复苏杂志   2016, Issue (8): 8-8
    
经导管主动脉瓣置换术麻醉进展
王洪乾, 张铁铮1()
1.沈阳军区总医院
Current advances in anesthsia progress for transcatheter aortic valve implantation
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摘要:

背景 对于手术禁忌或高风险手术的重度主动脉瓣狭窄患者,经导管主动脉瓣植入术(transcatheter aortic valve implantation, TAVI)已作为开放性手术的替代疗法。麻醉是保证手术成功的关键。 目的 总结目前关于TAVI麻醉监测管理的最新进展,为临床医师提供参考。 内容 从术前评估、麻醉方法、术中监测、术中以及术后管理等5个方面综述TAVI的麻醉进展。 趋向 目前国内TAVI麻醉研究较少,麻醉医师安全有效地监测管理是保证手术成功的关键因素。

关键词: 经导管主动脉瓣植入术; 麻醉; 监测; 管理
Abstract:

Backgroud For taboo or high risk surgical severe aortic stenosis patients, transcatheter aortic valve implantation(TAVI) was a replacement therapy of open surgery. Anesthesia physician play an important role for ensuring the operation success. Objective To summarize the latest progress on TAVI anesthesia monitoring management at present, and to provide current advances in anesthsia for clinical anesthesiologists. Content This article briefly introduces the progress about the preoperative assessment, method of anesthesia, intraoperative monitoring, intraoperative and postoperative management, such as a review of the progress of TAVI anesthesia. Trend It is rare in domestic study on TAVI anesthesia research, safe and effective monitoring is the key factor to ensure the operation success for anesthesiologists.

Key words: Transcatheter aortic valve implantation; Anesthsia; Monitor; Management