Caring for Patients with Aortic Stenosis Undergoing Transcatheter Aortic Valve Implantation (TAVI) in Catheterization Laboratory

Abstract

Aortic stenosis (AS) is one of the most common types and serious valvular heart disease in elderly people. The most common cause of aortic stenosis in the elderly is the buildup of calcifications on the heart valves, leading to progressive narrowing of the aortic valve orifice and impairing the heart's ability to effectively pump blood to peripheral organs and tissues. Consequently, affected individuals may experience symptoms of reduced cardiac output, such as angina, dyspnea, and syncope. Patients diagnosed with severe aortic stenosis (AS) typically require treatment with Aortic Valve Replacement (AVR) surgery However, many patients have high surgical risk for surgical AVR. Transcatheter Aortic Valve Implantation (TAVI) is used as an alternative to open-heart surgery for patients diagnosed with symptomatic severe aortic stenosis (AS) who are deemed unsuitable candidates for traditional surgical procedures. TAVI requires preparation, expertise, and collaboration among medical professionals such as interventional cardiologists, cardiac surgeons, anesthesiologists, ultrasound physicians, nurses, radiologic technologist, and cardiothoracic technologists. The TAVI team aims to enhance proficiency by incorporating specialized skills and knowledge that could mitigate the negative impacts of therapeutic cardiac interventions. It is crucial to provide attentive care to patients with aortic stenosis undergoing Transcatheter Aortic Valve Implantation (TAVI) in the cardiac catheterization laboratory. Effective management of patients undergoing Transcatheter Aortic Valve Implantation (TAVI) for aortic stenosis in the cardiac catheterization laboratory is essential.