Intraoperative Nursing Care of Patients Undergoing Transcatheter Aortic Valve Replacement via Femoral Artery Approach

Xuanjing Li; Shengqi Wang; Fan Yang; Jian Yu; Xianzhen Huang; Wenying Li

doi:doi:10.11648/j.ajns.20211001.19

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Intraoperative Nursing Care of Patients Undergoing Transcatheter Aortic Valve Replacement via Femoral Artery Approach

Xuanjing Li, Shengqi Wang, Fan Yang, Jian Yu, Xianzhen Huang, Wenying Li

Published in American Journal of Nursing Science (Volume 10, Issue 1)

Received: 16 January 2021 Accepted: 23 January 2021 Published: 28 January 2021

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Abstract

Objective: Intend to explore the main points of intraoperative nursing care of patients with aortic valve stenosis undergoing transcatheter aortic valve replacement through femoral artery approach, summarize the scientific and effective nursing methods in operation. Methods: The intraoperative nursing methods of 9 patients undergoing transcatheter aortic valve replacement through femoral artery approach in our hospital from November 2019 to January 2021 were analyzed retrospectively. These methods include preoperative preparation, transmission of operative consumables, invasive blood pressure monitoring, use of high pressure syringe and temporary pacemaker, nursing of balloon dilatation and valve release, observation and nursing of intraoperative complications, postoperative nursing and so on. Results: The success rate of transcatheter aortic valve replacement was 100% in 9 patients who underwent transcatheter aortic valve replacement through femoral artery approach. In addition, the average operation time was 194.1 minutes. Besides, 1 case was implanted with middle valve, 1 case was protected by coronary artery, and 1 case was rescued during postoperative transportation. Moreover, no serious operative complications such as valve stent shedding, perivalvular leakage, coronary artery occlusion, stroke and malignant arrhythmia occurred in 9 patients. Conclusion: Full preoperative preparation, familiarity with the whole operation process and key steps, proficiency in the use of high pressure syringe and temporary pacemaker and nursing cooperation during balloon dilatation and valve release are the key to the successful completion of the operation in transfemoral approach transcatheter aortic valve replacement. Through active and effective intraoperative nursing, the operative quality of transfemoral artery approach transcatheter aortic valve replacement can be improved effectively, the operative time can be shortened, and the occurrence of intraoperative complications can be reduced, and the life safety of patients can be guaranteed.

Published in	American Journal of Nursing Science (Volume 10, Issue 1)
DOI	10.11648/j.ajns.20211001.19
Page(s)	49-54
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Aortic Valve Stenosis, Transcatheter Aortic Valve Replacement, Nursing

References

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[2]	Eveborn G W, Schirmer H, Heggelund G, et al. The evolving epidemiology of valvular aortic stenosis. the Tromso study [J]. Heart. 2013, 99 (6): 396-400.
[3]	Eggebrecht H, Vaquerizo B, Moris C, et al. Incidence and outcomes of emergent cardiac surgery during transfemoral transcatheter aortic valve implantation (TAVI): insights from the European Registry on Emergent Cardiac Surgery during TAVI (EuRECS-TAVI)[J]. Eur Heart J. 2018, 39 (8): 676-684.
[4]	Gerckens U, Tamburino C, Bleiziffer S, et al. Final 5-year clinical and echocardiographic results for treatment of severe aortic stenosis with a self-expanding bioprosthesis from the ADVANCE Study [J]. Eur Heart J. 2017, 38 (36): 2729-2738.
[5]	Thourani V H, Kodali S, Makkar R R, et al. Transcatheter aortic valve replacement versus surgical valve replacement in intermediate-risk patients: a propensity score analysis [J]. Lancet. 2016, 387 (10034): 2218-2225.
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[7]	Wang X Z. Analysis of nursing strategy for controlling laminar flow hospital infection [J]. Electronic journal of clinical medical literature. 2017, 4 (75): 14763, 14765.
[8]	Genereux P, Head S J, Van Mieghem N M, et al. Clinical outcomes after transcatheter aortic valve replacement using valve academic research consortium definitions: a weighted meta-analysis of 3,519 patients from 16 studies [J]. J Am Coll Cardiol. 2012, 59 (25): 2317-2326.
[9]	Kappetein A P, Head S J, Genereux P, et al. Updated standardized endpoint definitions for transcatheter aortic valve implantation: the Valve Academic Research Consortium-2 consensus document (VARC-2) [J]. Eur J Cardiothorac Surg. 2012, 42 (5): S45-S60.
[10]	Consensus among Chinese experts on the clinical pathway of transcatheter aortic valve replacement [J]. Chinese Journal of Interventional Cardiology. 2018, 26 (12): 661-668.
[11]	De Backer O, Arnous S, Sandholt B, et al. Safety and efficacy of using the Viabahn endoprosthesis for percutaneous treatment of vascular access complications after transfemoral aortic valve implantation [J]. Am J Cardiol. 2015, 115 (8): 1123-1129.
[12]	Baumgartner H, Falk V, Bax J J, et al. 2017 ESC/EACTS Guidelines for the Management of Valvular Heart Disease [J]. Rev Esp Cardiol (Engl Ed). 2018, 71 (2): 110.
[13]	Kapadia S R, Leon M B, Makkar R R, et al. 5-year outcomes of transcatheter aortic valve replacement compared with standard treatment for patients with inoperable aortic stenosis (PARTNER 1): a randomised controlled trial [J]. Lancet. 2015, 385 (9986): 2485-2491.
[14]	Cribier A, Eltchaninoff H, Bash A, et al. Percutaneous transcatheter implantation of an aortic valve prosthesis for calcific aortic stenosis: first human case description [J]. Circulation. 2002, 106 (24): 3006-3008.
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APA Style

Xuanjing Li, Shengqi Wang, Fan Yang, Jian Yu, Xianzhen Huang, et al. (2021). Intraoperative Nursing Care of Patients Undergoing Transcatheter Aortic Valve Replacement via Femoral Artery Approach. American Journal of Nursing Science, 10(1), 49-54. https://doi.org/10.11648/j.ajns.20211001.19

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ACS Style

Xuanjing Li; Shengqi Wang; Fan Yang; Jian Yu; Xianzhen Huang, et al. Intraoperative Nursing Care of Patients Undergoing Transcatheter Aortic Valve Replacement via Femoral Artery Approach. Am. J. Nurs. Sci. 2021, 10(1), 49-54. doi: 10.11648/j.ajns.20211001.19

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AMA Style

Xuanjing Li, Shengqi Wang, Fan Yang, Jian Yu, Xianzhen Huang, et al. Intraoperative Nursing Care of Patients Undergoing Transcatheter Aortic Valve Replacement via Femoral Artery Approach. Am J Nurs Sci. 2021;10(1):49-54. doi: 10.11648/j.ajns.20211001.19

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@article{10.11648/j.ajns.20211001.19,
  author = {Xuanjing Li and Shengqi Wang and Fan Yang and Jian Yu and Xianzhen Huang and Wenying Li},
  title = {Intraoperative Nursing Care of Patients Undergoing Transcatheter Aortic Valve Replacement via Femoral Artery Approach},
  journal = {American Journal of Nursing Science},
  volume = {10},
  number = {1},
  pages = {49-54},
  doi = {10.11648/j.ajns.20211001.19},
  url = {https://doi.org/10.11648/j.ajns.20211001.19},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20211001.19},
  abstract = {Objective: Intend to explore the main points of intraoperative nursing care of patients with aortic valve stenosis undergoing transcatheter aortic valve replacement through femoral artery approach, summarize the scientific and effective nursing methods in operation. Methods: The intraoperative nursing methods of 9 patients undergoing transcatheter aortic valve replacement through femoral artery approach in our hospital from November 2019 to January 2021 were analyzed retrospectively. These methods include preoperative preparation, transmission of operative consumables, invasive blood pressure monitoring, use of high pressure syringe and temporary pacemaker, nursing of balloon dilatation and valve release, observation and nursing of intraoperative complications, postoperative nursing and so on. Results: The success rate of transcatheter aortic valve replacement was 100% in 9 patients who underwent transcatheter aortic valve replacement through femoral artery approach. In addition, the average operation time was 194.1 minutes. Besides, 1 case was implanted with middle valve, 1 case was protected by coronary artery, and 1 case was rescued during postoperative transportation. Moreover, no serious operative complications such as valve stent shedding, perivalvular leakage, coronary artery occlusion, stroke and malignant arrhythmia occurred in 9 patients. Conclusion: Full preoperative preparation, familiarity with the whole operation process and key steps, proficiency in the use of high pressure syringe and temporary pacemaker and nursing cooperation during balloon dilatation and valve release are the key to the successful completion of the operation in transfemoral approach transcatheter aortic valve replacement. Through active and effective intraoperative nursing, the operative quality of transfemoral artery approach transcatheter aortic valve replacement can be improved effectively, the operative time can be shortened, and the occurrence of intraoperative complications can be reduced, and the life safety of patients can be guaranteed.},
 year = {2021}
}

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TY  - JOUR
T1  - Intraoperative Nursing Care of Patients Undergoing Transcatheter Aortic Valve Replacement via Femoral Artery Approach
AU  - Xuanjing Li
AU  - Shengqi Wang
AU  - Fan Yang
AU  - Jian Yu
AU  - Xianzhen Huang
AU  - Wenying Li
Y1  - 2021/01/28
PY  - 2021
N1  - https://doi.org/10.11648/j.ajns.20211001.19
DO  - 10.11648/j.ajns.20211001.19
T2  - American Journal of Nursing Science
JF  - American Journal of Nursing Science
JO  - American Journal of Nursing Science
SP  - 49
EP  - 54
PB  - Science Publishing Group
SN  - 2328-5753
UR  - https://doi.org/10.11648/j.ajns.20211001.19
AB  - Objective: Intend to explore the main points of intraoperative nursing care of patients with aortic valve stenosis undergoing transcatheter aortic valve replacement through femoral artery approach, summarize the scientific and effective nursing methods in operation. Methods: The intraoperative nursing methods of 9 patients undergoing transcatheter aortic valve replacement through femoral artery approach in our hospital from November 2019 to January 2021 were analyzed retrospectively. These methods include preoperative preparation, transmission of operative consumables, invasive blood pressure monitoring, use of high pressure syringe and temporary pacemaker, nursing of balloon dilatation and valve release, observation and nursing of intraoperative complications, postoperative nursing and so on. Results: The success rate of transcatheter aortic valve replacement was 100% in 9 patients who underwent transcatheter aortic valve replacement through femoral artery approach. In addition, the average operation time was 194.1 minutes. Besides, 1 case was implanted with middle valve, 1 case was protected by coronary artery, and 1 case was rescued during postoperative transportation. Moreover, no serious operative complications such as valve stent shedding, perivalvular leakage, coronary artery occlusion, stroke and malignant arrhythmia occurred in 9 patients. Conclusion: Full preoperative preparation, familiarity with the whole operation process and key steps, proficiency in the use of high pressure syringe and temporary pacemaker and nursing cooperation during balloon dilatation and valve release are the key to the successful completion of the operation in transfemoral approach transcatheter aortic valve replacement. Through active and effective intraoperative nursing, the operative quality of transfemoral artery approach transcatheter aortic valve replacement can be improved effectively, the operative time can be shortened, and the occurrence of intraoperative complications can be reduced, and the life safety of patients can be guaranteed.
VL  - 10
IS  - 1
ER  -

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Author Information

Xuanjing Li

Department of Cardiology, The First Affiliated Hospital of Jinan University, Guangzhou, China
Shengqi Wang

Interventional Operating Room, The First Affiliated Hospital of Jinan University, Guangzhou, China
Fan Yang

Department of Cardiology, The First Affiliated Hospital of Jinan University, Guangzhou, China
Jian Yu

Department of Cardiology, The First Affiliated Hospital of Jinan University, Guangzhou, China
Xianzhen Huang

Department of Cardiology, The First Affiliated Hospital of Jinan University, Guangzhou, China
Wenying Li

Department of Cardiology, The First Affiliated Hospital of Jinan University, Guangzhou, China

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APA Style

Xuanjing Li, Shengqi Wang, Fan Yang, Jian Yu, Xianzhen Huang, et al. (2021). Intraoperative Nursing Care of Patients Undergoing Transcatheter Aortic Valve Replacement via Femoral Artery Approach. American Journal of Nursing Science, 10(1), 49-54. https://doi.org/10.11648/j.ajns.20211001.19

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ACS Style

Xuanjing Li; Shengqi Wang; Fan Yang; Jian Yu; Xianzhen Huang, et al. Intraoperative Nursing Care of Patients Undergoing Transcatheter Aortic Valve Replacement via Femoral Artery Approach. Am. J. Nurs. Sci. 2021, 10(1), 49-54. doi: 10.11648/j.ajns.20211001.19

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AMA Style

Xuanjing Li, Shengqi Wang, Fan Yang, Jian Yu, Xianzhen Huang, et al. Intraoperative Nursing Care of Patients Undergoing Transcatheter Aortic Valve Replacement via Femoral Artery Approach. Am J Nurs Sci. 2021;10(1):49-54. doi: 10.11648/j.ajns.20211001.19

Copy | Download

@article{10.11648/j.ajns.20211001.19,
  author = {Xuanjing Li and Shengqi Wang and Fan Yang and Jian Yu and Xianzhen Huang and Wenying Li},
  title = {Intraoperative Nursing Care of Patients Undergoing Transcatheter Aortic Valve Replacement via Femoral Artery Approach},
  journal = {American Journal of Nursing Science},
  volume = {10},
  number = {1},
  pages = {49-54},
  doi = {10.11648/j.ajns.20211001.19},
  url = {https://doi.org/10.11648/j.ajns.20211001.19},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20211001.19},
  abstract = {Objective: Intend to explore the main points of intraoperative nursing care of patients with aortic valve stenosis undergoing transcatheter aortic valve replacement through femoral artery approach, summarize the scientific and effective nursing methods in operation. Methods: The intraoperative nursing methods of 9 patients undergoing transcatheter aortic valve replacement through femoral artery approach in our hospital from November 2019 to January 2021 were analyzed retrospectively. These methods include preoperative preparation, transmission of operative consumables, invasive blood pressure monitoring, use of high pressure syringe and temporary pacemaker, nursing of balloon dilatation and valve release, observation and nursing of intraoperative complications, postoperative nursing and so on. Results: The success rate of transcatheter aortic valve replacement was 100% in 9 patients who underwent transcatheter aortic valve replacement through femoral artery approach. In addition, the average operation time was 194.1 minutes. Besides, 1 case was implanted with middle valve, 1 case was protected by coronary artery, and 1 case was rescued during postoperative transportation. Moreover, no serious operative complications such as valve stent shedding, perivalvular leakage, coronary artery occlusion, stroke and malignant arrhythmia occurred in 9 patients. Conclusion: Full preoperative preparation, familiarity with the whole operation process and key steps, proficiency in the use of high pressure syringe and temporary pacemaker and nursing cooperation during balloon dilatation and valve release are the key to the successful completion of the operation in transfemoral approach transcatheter aortic valve replacement. Through active and effective intraoperative nursing, the operative quality of transfemoral artery approach transcatheter aortic valve replacement can be improved effectively, the operative time can be shortened, and the occurrence of intraoperative complications can be reduced, and the life safety of patients can be guaranteed.},
 year = {2021}
}

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TY  - JOUR
T1  - Intraoperative Nursing Care of Patients Undergoing Transcatheter Aortic Valve Replacement via Femoral Artery Approach
AU  - Xuanjing Li
AU  - Shengqi Wang
AU  - Fan Yang
AU  - Jian Yu
AU  - Xianzhen Huang
AU  - Wenying Li
Y1  - 2021/01/28
PY  - 2021
N1  - https://doi.org/10.11648/j.ajns.20211001.19
DO  - 10.11648/j.ajns.20211001.19
T2  - American Journal of Nursing Science
JF  - American Journal of Nursing Science
JO  - American Journal of Nursing Science
SP  - 49
EP  - 54
PB  - Science Publishing Group
SN  - 2328-5753
UR  - https://doi.org/10.11648/j.ajns.20211001.19
AB  - Objective: Intend to explore the main points of intraoperative nursing care of patients with aortic valve stenosis undergoing transcatheter aortic valve replacement through femoral artery approach, summarize the scientific and effective nursing methods in operation. Methods: The intraoperative nursing methods of 9 patients undergoing transcatheter aortic valve replacement through femoral artery approach in our hospital from November 2019 to January 2021 were analyzed retrospectively. These methods include preoperative preparation, transmission of operative consumables, invasive blood pressure monitoring, use of high pressure syringe and temporary pacemaker, nursing of balloon dilatation and valve release, observation and nursing of intraoperative complications, postoperative nursing and so on. Results: The success rate of transcatheter aortic valve replacement was 100% in 9 patients who underwent transcatheter aortic valve replacement through femoral artery approach. In addition, the average operation time was 194.1 minutes. Besides, 1 case was implanted with middle valve, 1 case was protected by coronary artery, and 1 case was rescued during postoperative transportation. Moreover, no serious operative complications such as valve stent shedding, perivalvular leakage, coronary artery occlusion, stroke and malignant arrhythmia occurred in 9 patients. Conclusion: Full preoperative preparation, familiarity with the whole operation process and key steps, proficiency in the use of high pressure syringe and temporary pacemaker and nursing cooperation during balloon dilatation and valve release are the key to the successful completion of the operation in transfemoral approach transcatheter aortic valve replacement. Through active and effective intraoperative nursing, the operative quality of transfemoral artery approach transcatheter aortic valve replacement can be improved effectively, the operative time can be shortened, and the occurrence of intraoperative complications can be reduced, and the life safety of patients can be guaranteed.
VL  - 10
IS  - 1
ER  -

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