Adaptation of Transcatheter Aortic Valve Replacement in Nursing

• 作者: Nami B. Osterwald Raymund Gantioque
• 来源期刊: 护理学期刊(英文)
• 学科: 医学
• 关键词: TRANSCATHETER AORTIC VALVE Replacement TAVR TRANSCATHETER AORTIC VALVE Implantation TAVI AORTIC STENOSIS
• 年，卷（期）: 2020,（4）
• 页码范围: 396-410
• 页数: 15页
• 分类号: R65

摘要

Transcatheter aortic valve replacement (TAVR), which is also referred to as transcatheter aortic valve implantation (TAVI), is a minimally invasive procedure to treat aortic stenosis. An estimated 12% of individuals over the age of 75 have aortic stenosis, and it is currently the most common reason for valve replacement in elderly Americans. TAVR was introduced as an alternative treatment to surgical aortic valve replacement (SAVR), which involves an open-heart surgery. In the U.S., the first transcatheter valve was approved by the U.S. Food and Drug Administration (FDA) in November 2011. Since then, FDA has expanded its approval to intermediate- and low-risk patients. The purpose of this manuscript is to expand nurses’ knowledge about the TAVR procedure as TAVR is one of the most rapidly growing medical procedures in the U.S. This manuscript provides a background of the TAVR procedure, reviews relevant research, and highlights common complications. Compared to SAVR, TAVR has established its safety, efficacy, and cost-effectiveness as a treatment option for patients with severe aortic stenosis.