Transcatheter aortic valve implantation: an overview for nurses

Asriel Juvenal Chamos
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Abstract

Transcatheter aortic valve implantation is non-inferior to surgical aortic valve replacement in managing severe aortic stenosis. It has been the treatment of choice for patients who would be unsuitable for surgical aortic valve replacement. Patient selection and workup involves a rigorous process to ensure a successful outcome, and patient monitoring is crucial during and after the procedure. Nurses play an important role throughout these stages, so developing their understanding of the different processes involved in each step of the procedure is imperative. This article provides an overview of transcatheter aortic valve implantation, from patient selection and workup to peri-procedure, highlighting considerations for nurses across these stages. It includes the most relevant and recent literature on transcatheter aortic valve implantation for evidence-based nursing care, such as the monitoring of complications, early mobilisation and next-day discharge. Furthermore, it includes discussion of future considerations and research on transcatheter aortic valve implantation.
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经导管主动脉瓣植入术:护理概述
经导管主动脉瓣植入术在治疗严重主动脉瓣狭窄方面不逊于手术。对于不适合手术主动脉瓣置换术的患者,它一直是治疗的选择。病人的选择和检查包括一个严格的过程,以确保成功的结果,病人的监测是至关重要的过程中和之后的程序。护士在这些阶段中扮演着重要的角色,因此培养他们对每个步骤中涉及的不同过程的理解是必要的。本文概述了经导管主动脉瓣植入术,从患者选择和随访到围手术期,强调了护士在这些阶段的注意事项。它包括经导管主动脉瓣植入术的循证护理的最相关和最新文献,如并发症的监测,早期活动和第二天出院。此外,还讨论了经导管主动脉瓣植入术的未来考虑和研究。
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