经皮导管内主动脉瓣置入术的麻醉管理

Anesthetic management of transcatheter aortic valve implantation

摘要:

经皮导管内主动脉瓣置入术的迅速发展给麻醉医师带来了巨大的挑战，伴随着人工合成瓣膜技术逐步优化、操作者经验日渐丰富，成为越来越多外科手术高风险的主动脉狭窄患者的新选择。麻醉管理也越来越复杂且精细，需要麻醉医师掌握更多相关新知识、新技术，现就其麻醉方法的选择及其特殊性加以综述。

Abstract:

The anesthesiologists have to confront the challenges produced by the rapid progresses of transcatheter aortic valve implantation (TAVI). With the growing experience of the operators and further development of the devices, TAVI is largely recognized as a valid alternative to medical therapy in symptomatic patients who are strongly contraindicated for surgery. Cardiac anesthetic management is becoming more complex and accurate. Cardiac anesthesiologists also need to master more knowledge on TAVI, and understanding the procedure and the challenges inherent to it is of paramount importance. The selection of anesthetic methods for different individuals and their specificity are reviewed herein.