经皮导管内主动脉瓣置入术的麻醉管理.pdfVIP

第 27 卷第 20 期 中国现代医学杂志 Vol. 27 No.20 2017 年 9 月 China Journal of Modern Medicine Sept. 2017 DOI: 10.3969/j.issn.1005-8982.2017.20.010 文章编号： 1005-8982 2017）20-0051-05 综述 经皮导管内主动脉瓣置入术的麻醉管理 于海兴，张瑞芹 哈尔滨医科大学附属第二医院 麻醉科，黑龙江 哈尔滨 150086） 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 的选择及其特殊性加以综述。 关键词： 经皮导管内主动脉瓣置入术；麻醉管理；全身麻醉 R614.2 A 中图分类号： 文献标识码： Anesthetic management of transcatheter aortic valve implantation Hai-xing Yu, Rui-qin Zhang (Departme nt of A nesthes iology, the Second A ffiliated Hos pital of Harbin Medical Unive rs ity, Hae rbin, He ilongj iang 150086, China) 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. Keywords: transcatheter aortic valve implantation (TAVI); a