J Anesth Perioper Med. 2018;5(4):215-220. https://doi.org/10.24015/ebcmed.japm.2018.0056

Transcatheter Aortic Valve Implantation: Complications and Anesthetic Management

Gang Zhang1,2*, Jun Luo1*, Xiaoyan Huang3*, and Guo Chen1

From the 1Department of Anesthesiology, West China Hospital, Sichuan University; 2Department of Anesthesiology, West China Second University Hospital, Sichuan University; Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education; 3the Operation Room of the Third People's Hospital of Chengdu; all in Chengdu, China.

*Contributed equally to this work.

Correspondence to Dr. Guo Chen at grace_chenguo@hotmail.com.

EBCMED ID: ebcmed.japm.2018.0056 DOI: 10.24015/ebcmed.japm.2018.0056


Aim of review
This paper explains transcatheter aortic valve implantation’s (TAVI) surgical complications, preventing strategies as well as its anesthetic management and choice.

By using the following keywords “complication”, “transcatheter aortic valve implantation” and “anesthesia”, literature for the past decades was searched and reviewed to identify articles on complications and anesthesia of TAVI.

Recent findings
TAVI is a new minimally invasive interventional surgery. Compared with the traditional surgery, TAVI doesn’t need to be implemented with cardiopulmonary bypass (CPB). This operation is preferable to the patients with heart failure, advanced age and other high-risk factors. But there are still some corresponding complications after TAVI. Some severe complications such as stroke can seriously reduce the quality of patients' life, and the coronary occlusion can even directly led death of patients. We could also reduce the incidence of some complications by evaluating the patients’ aortic root and choosing the proper valve.

This paper mainly reviews the latest research progress of several common or highrisk complications. For the patients’perioperative safety during TAVI, there are some specific preventions and treatments to reduce the incidence of the complications. Suitable anesthesia selection and management can also contribute to the low incidence of complications. (Funded by the Department of Anesthesiology,West China Hospital, Sichuan University.)

Article Type
Review Article

Declaration of Interests
The authors declare no conflicts of interest.

This work was supported by a grant from the Department of Anesthesiology, West China Hospital, Sichuan University in China.

This is an open-access article, published by Evidence Based Communications (EBC). This work is licensed under the Creative Commons Attribution 4.0 International License, which permits unrestricted use, distribution, and reproduction in any medium or format for any lawful purpose. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.