Transcatheter aortic valve replacement complications: A narrative review for emergency clinicians - 14/05/22
, Alex Koyfman, MD c, Brit Long, MD d, ⁎, 1 Abstract |
Introduction |
Aortic valve stenosis (AS) is present in up to 10% of individuals over age 80 years. Transcatheter aortic valve replacement (TAVR) has become the most common method to replace the aortic valve in patients with AS. TAVR-related complications may occur.
Objective |
This narrative review evaluates the emergency department (ED) assessment and management of patients with TAVR complications.
Discussion |
Post-TAVR complications can be conceptualized as occurring peri-procedurally and after the peri-procedural period. Peri-procedural complications include device landing zone rupture, coronary artery obstruction, acute myocardial infarction, cardiac tamponade, and valve embolization. Complications beyond the peri-procedural window include vascular access/bleeding, mechanical valve issues, electrical conduction complications, and end-organ damage.
Conclusions |
Emergency clinicians are more likely to encounter TAVR complications after the initial procedural hospitalization and must be prepared to diagnose and manage these complications.
Le texte complet de cet article est disponible en PDF.Keywords : Aortic valve, TAVR, Transcatheter aortic valve replacement, Cardiology, TAVI
Plan
Vol 56
P. 77-86 - juin 2022 Retour au numéro
Article précédent
- Tranexamic acid – A narrative review for the emergency medicine clinician
- Kellie Wang, Ruben Santiago
- Analgesic efficacy of nitrous oxide in adults in the emergency department: A meta-analysis of randomized controlled trials
- Yihui Xing, Lingjun Zhou, Jianqiang Yu, Ziyang Wang, Zhiguo Ding, Chen Xie, Yuxiang Li, Fei Wang, Lu Tang
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?