Anesthetic considerations of percutaneous transcatheter aortic valve implantation: first attempt in Korea -A report of 2 cases-

Korean Journal of Anesthesiology 2011년 60권 2호 p.128 ~ p.133

손효정(Son Hyo-Jung) - University of Ulsan College of Medicine Department of Anesthesiology and Pain Medicine
이화미(Lee Hwa-Mi) - University of Ulsan College of Medicine Department of Anesthesiology and Pain Medicine
진지현(Chin Ji-Hyun) - University of Ulsan College of Medicine Department of Anesthesiology and Pain Medicine
최대기(Choi Dae-Kee) - University of Ulsan College of Medicine Department of Anesthesiology and Pain Medicine
이은호(Lee Eun-Ho) - University of Ulsan College of Medicine Department of Anesthesiology and Pain Medicine
심지연(Sim Ji-Yeon) - University of Ulsan College of Medicine Department of Anesthesiology and Pain Medicine
최인철(Choi In-Cheol) - University of Ulsan College of Medicine Department of Anesthesiology and Pain Medicine

Abstract

Conventional aortic valve replacement for severe aortic stenosis is associated with a high operative mortality in the elderly patients with significant comorbidities, including severe respiratory dysfunction, renal insufficiency, and compromised cardiac function. Human transcatheter aortic valve implantation was first reported in 2002 and has become a valid alternative in selected high-risk patients in Europe and North America. This article describes the first attempt of transfemoral transcatheter aortic valve implantation in Korea. The procedure was applied in two consecutive patients with severe aortic stenosis. Despite several intra-operative complications during procedure, the post-operative outcomes were good for both patients. At post-operative 30 days there was satisfactory prosthetic valve function and hemodynamic stability.

키워드

Anesthesia, Aortic stenosis, Conventional aortic valve replacement, Percutaneous transcatheter aortic valve implantation
원문 및 링크아웃 정보
등재저널 정보
MEDLINE 학술진흥재단(KCI) KoreaMed 대한의학회 회원 
주제코드
주제명(Target field)
연구대상(Population)
연구참여(Sample size)
대상성별(Gender)
질병특성(Condition Category)
연구환경(Setting)
연구설계(Study Design)
연구기간(Period)
중재방법(Intervention Type)
중재명칭(Intervention Name)
키워드(Keyword)
유효성결과(Recomendation)
The post-operative outcomes were good for both patients. At post-operative 30 days there was satisfactory prosthetic valve function and hemodynamic stability; TAVI has become an alternative to surgical AVR for the elderly with comorbidities who have a high operative mortality rate or are deemed non-operable.
연구비지원(Fund Source)
근거수준평가(Evidence Hierarchy)
출판년도(Year)
참여저자수(Authors)
대표저자
KCD코드
ICD 03
건강보험코드