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Chapter 19 - Procedures for Structural Heart Disease

from Section 3 - Cardiac Catheter Laboratory Procedures

Published online by Cambridge University Press:  12 May 2020

Joseph Arrowsmith
Affiliation:
Royal Papworth Hospital, Cambridge
Andrew Roscoe
Affiliation:
Singapore General Hospital
Jonathan Mackay
Affiliation:
Royal Papworth Hospital, Cambridge
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Summary

Historically, the cardiac catheterization laboratory has been used for blood sampling, contrast-enhanced imaging and intravascular pressure measurement to provide diagnostic and prognostic information and to guide surgical intervention. In recent years, technological advancements have made less invasive therapies feasible and driven tremendous growth in percutaneous procedures. While this now encompasses a wide range of cardiovascular interventions, this chapter will focus on percutaneous therapies for structural heart disease, where the anaesthetist is most likely to be involved.

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Publisher: Cambridge University Press
Print publication year: 2020

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References

Further Reading

Alfieri, O, Maisano, F, De Bonis, M, et al. The double-orifice technique in mitral valve repair: a simple solution for complex problems. J Thorac Cardiovasc Surg 2001; 122: 674–81.Google Scholar
Feldman, T, Kar, S, Rinaldi, M, et al. Percutaneous mitral repair with the MitraClip system: safety and midterm durability in the initial EVEREST (Endovascular Valve Edge-to-Edge REpair Study) cohort. J Am Coll Cardiol 2009; 54: 686–94.CrossRefGoogle ScholarPubMed
Grube, E, Sinning, JM, Vahanian, A. The year in cardiology 2013: valvular heart disease (focus on catheter-based interventions). Eur Heart J 2014; 35: 490–5.CrossRefGoogle ScholarPubMed
Guarracino, F, Baldassarri, R, Ferro, B, et al. Transesophageal echocardiography during MitraClip® procedure. Anesth Analg 2014; 118: 1188–96.CrossRefGoogle ScholarPubMed
Klein, AA, Skubas, NJ, Ender, J. Controversies and complications in the perioperative management of transcatheter aortic valve replacement. Anesth Analg 2014; 119: 784–98.CrossRefGoogle ScholarPubMed
Klein, AA, Webb, ST, Tsui, S, et al. Transcatheter aortic valve insertion: anaesthetic implications of emerging new technology. Br J Anaesth 2009; 103: 792–9.CrossRefGoogle ScholarPubMed
Mack, M, Smith, RL. Transcatheter treatment of mitral valve disease: déjà vu all over again? Circulation 2016; 134: 198200.CrossRefGoogle Scholar
Shook, DC, Savage, RM. Anesthesia in the cardiac catheterization laboratory and electrophysiology laboratory. Anesthesiol Clin 2009; 27: 4756.CrossRefGoogle ScholarPubMed
Vahl, TP, Kodali, SK, Leon, MB. Transcatheter aortic valve replacement 2016: a modern-day ‘through the looking-glass’ adventure. J Am Coll Cardiol 2016; 67: 1472–87.Google Scholar

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