Caring for Patients After Transcatheter Aortic Valve Replacement

Caring for Patients After Transcatheter Aortic Valve Replacement

Type: Article
Expiration Date: 08/01/2020
Location: Online


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Overview

For many years, surgical aortic valve replacement (SAVR) was the gold-standard treatment for severe, symptomatic aortic stenosis (AS). For eligible patients, this procedure can improve symptoms and extend life. But it has a major drawback: Whether the surgical approach is open (using a full sternotomy) or less invasive (using a ministernotomy or minithoracotomy), SAVR requires cross-clamping of the aorta and cardiopulmonary bypass.

Transcatheter aortic valve replacement (TAVR), which involves a collapsible prosthetic valve placed directly over the native diseased valve, has emerged as a minimally invasive alternative to SAVR. A guide wire is fed through the aorta; then a catheter with a prosthetic valve on the end is fed over the wire and placed over the aortic valve. The prosthetic valve can be deployed percutaneously or through a small incision in the chest wall. The procedure takes 4 to 5 hours and is done in a hybrid cardiac catheterization laboratory.

This article reviews patient eligibility for TAVR, procedural approaches, prosthetic valve types, potential complications, nursing care, and patient education.

Key Learning Outcomes

  
  1. Identify the patient assessment process for transcatheter aortic valve replacement (TAVR).
  2. Compare the approaches and valve options for TAVR.
  3. Discuss the nurse’s role in caring for patients after TAVR.

Presented By

  

Kelly Haight, MSN, APRN, ACNS-BC, PCCN
Kelly Haight is a clinical nurse specialist at the Cleveland Clinic in Cleveland, Ohio.

Pricing Information

  
Price: $20.00
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