Kliniğimizde Transkateter Aort Replasmanı Yapılan Hastalarda Anestezi Deneyimimiz.

Objective: Valvular aortic stenosis (AS) is a major cardiac valvular disease in geriatric patients. The conventional therapy for serious AS is surgical aortic valve replacement. But most of the geriatric patients are considered to be non-operable due to anesthetical and surgical high risks. Recently, transcatheter aortic valve replacement (TAVR) is rapidly evolving new alternative therapy option for these high risk AS patients. In this study, we aimed to share our experience in patients undergoing TAVR procedure under general anesthesia (GA). Material and Method: Sixty-seven patients with serious symptomatic AS (29 male, 38 female, mean age 78.3±6.44 years) undergoing TAVR procedure under GA were evaluated retrospectively and included in this study. Results: The mean durations of the procedure and anesthesia were 159±38 min and 193±41 min, respectively. A total of 28 (41%) patients underwent blood transfusions. Vasopressor drugs were infused to 4 (0.5%) patients intraoperatively The median stay of intensive care unit and hospital stay stay were 2 (1-7), and 7 (4-60) days, respectively. Conclusion: TAVR is a challeging procedure for anesthesiologists due to the complexity of the procedure itself and also the high risk carried by the patient population who will undergo TAVR. Anesthesiologists have to ensure hemodynamic stability, and to protect the vital functions. Optimal perioperative evaluation is important for rapid and safe approach to possible complications. The growing experience in TAVR procedures will result in increased procedure success rates. [ABSTRACT FROM AUTHOR]