Zdravstvena njega kod bolesnika nakon transkateterske ugradnje aortne valvule.

Aortal stenosis is quiet often valvular disease, especially in elderly people. The gold standard in medical treatment is surgical aortal valvular replacement.1 Although, people of advanced age and with multiple comorbidities often have high surgical risk. That is the main reason why TAVI procedure is developed as optimal treatment in that category of patients. TAVI is less invasive and have less perioperative risk than classical cardiosurgical procedure.2The role of medical nurse is very important in all aspects of medical care. The nurse has important role in coordination with multidisciplinary team before TAVI procedure and later in education of the patients and family members. Although TAVI procedure is less invasive, the postprocedural treatment is demanding and quiet complicated. It is very important to monitor hemodynamic status and taking into considerations all the comorbidities. Early mobilization and complications are important aspects in medical care. Whereas some patients have diastolic dysfunction and hypertrophic left ventricle it is important to follow adequate volume status and optimize cardiac output and systemic perfusion. Many of this patients have chronical renal impairment and optimal postprocedural hydration is demand as protection of acute renal injury. ECG monitoring and neurological status changes are also required. TAVI procedure is less invasive method in high grade symptomatic aortal stenosis after which patients are very soon mobile, the medical health care is quiet demanding and complicated. Because this is new medical approach in treatment, medical nurses should be adequately familiar with risks, advances and possible complications of this procedure. New researches will make much stronger roll of medical nurses in multidisciplinary team approach and give more quality in medical treatment of this patients. [ABSTRACT FROM AUTHOR]