bandage-green

Transcatheter Mitral and Tricuspid Valve Intervention

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, arms tucked, Bed turned 90 degrees
Time : 2-4 hours (long)
Blood Loss : Moderate (50 - 200 ml)
Post-op Pain : Minimal (0-3)
Maintenance Paralytic : Yes
Considerations : Arterial line, Central line, Fluoroscopy / Xray, Off-site, Anticoagulation / Antiplatelet Therapy, TEE

Anesthetic Approaches

1GETT, Remifentanil Drip
2GETT, TIVA, Propofol Drip, Remifentanil Drip
The Surgery

Patient selection - A heart team declines the patient for open repair on the basis of age, frailty, ventricular function, pulmonary hypertension , and renal function, then screens the valve on...

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