How Should We Manage PAR After TAVI?

Originally posted on invasivecardiology:
Stefan Toggweiler, MD Evidence indicates that postprocedural moderate or severe paravalvular regurgitation (PAR) reduces life expectancy in such a way that it may even nullify the beneficial effect of TAVI. Due to improved implantation techniques, knowledge, and materials, the rates of moderate or severe PAR have dropped to less than 5%-10%…

TAVR Team: conscious sedation vs. general anesthesia

Today, we had a guest speaker Christian Spies from Queen’s Hospital in Hawaii who spoke on his experience with his TAVR team and conscious sedation vs. general anesthesia for these patients.  More specifically, we are speaking of the transfemoral route. Keypoints: Patient selection is key (consider for COPD; bad for OSA) Short surgical time for monitored anesthesia

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Don’t Dismantle the TAVR Heart Team

Originally posted on invasivecardiology:
There is global debate how to make TAVR procedures less expensive. Some sites changed from general anesthesia to sedation, some go even beyond that and keep patients fully awake during the procedure. Some sites eliminated anesthesiologists, some even eliminated the surgeons, as well. All this in the name of cost reduction,…