Cardiac critical care after transcatheter aortic valve replacement

Cardiol Clin. 2013 Nov;31(4):607-18, ix. doi: 10.1016/j.ccl.2013.07.006.

Abstract

Transcatheter aortic valve replacement (TAVR) is a new therapy for severe aortic stenosis now available in the United States. Initial patients eligible for TAVR are defined by high operative risk, with advanced age and multiple comorbidities. Following TAVR, patients experience acute hemodynamic changes and several possible complications, including hypotension, vascular injury, anemia, stroke, new-onset atrial fibrillation, conduction disturbances and kidney injury, requiring an acute phase of intensive care. Alongside improvements in TAVR technology and technique, improvements in care after TAVR may contribute to improved outcomes. This review presents an approach to post-TAVR critical care and identifies directions for future research.

Keywords: Complications; Critical care; TAVR; Transcatheter aortic valve replacement.

Publication types

  • Review

MeSH terms

  • Anemia / prevention & control
  • Aortic Valve Stenosis / physiopathology
  • Aortic Valve Stenosis / surgery*
  • Aortic Valve*
  • Cardiac Catheterization / methods*
  • Communication
  • Critical Care / methods*
  • Feeding Methods
  • Fever / prevention & control
  • Heart Valve Prosthesis Implantation / methods*
  • Heart Valve Prosthesis*
  • Hemodynamics / physiology
  • Humans
  • Hypotension / prevention & control
  • Interprofessional Relations
  • Leukocytosis / prevention & control
  • Patient Care Team / organization & administration
  • Prosthesis Design
  • Secondary Prevention
  • Stroke / prevention & control
  • Ventilator Weaning / methods