Debate: Minimalist approach to TAVI as a selective strategy

QUESTION: For starters, what is the minimalist approach to transcatether aortic valve implantation (TAVI)? ANSWER: Minimalist TAVI is a recent strategy to simplify the procedure, reduce possible complications, and favor early hospital discharges. This general definition can be explained by 2 keys as...

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Autor principal:	Manuel Pan
Formato:	article
Lenguaje:	EN ES
Publicado:	Permanyer 2021
Materias:	Medicine R
Acceso en línea:	https://doaj.org/article/6b88d8d66233487987e2a153b3216e81
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spelling	oai:doaj.org-article:6b88d8d66233487987e2a153b3216e812021-11-16T10:16:44ZDebate: Minimalist approach to TAVI as a selective strategy10.24875/RECICE.M210002222604-7322https://doaj.org/article/6b88d8d66233487987e2a153b3216e812021-11-01T00:00:00Zhttps://recintervcardiol.org/en/index.php?option=com_content&view=article&id=692https://doaj.org/toc/2604-7322QUESTION: For starters, what is the minimalist approach to transcatether aortic valve implantation (TAVI)? ANSWER: Minimalist TAVI is a recent strategy to simplify the procedure, reduce possible complications, and favor early hospital discharges. This general definition can be explained by 2 keys aspects: what measures should be taken? And what patients should be eligible? Replacing general anesthesia and orotracheal intubation for sedation and local anesthesia are some of these measures. Sedation with the use of a laryngeal mask airway waking up the patient once the procedure is done is an intermediate situation. The type of hospital stay following TAVI is also an important aspect to be considered and it is associated with the type of anesthesia or sedation used: intensive care unit, post-anesthesia care unit or the hospital cardiac care unit. Other minimalist approaches during the procedure would be the access site used and the percutaneous closure, to avoid bladder catheterization, use the femoral venous access, use the radial, and not the femoral, artery for monitorization purposes, and to avoid the transesophageal echocardiogram. After the implantation, promoting early walking and removing IVs as soon as possible may also help. All these measures facilitate early hospital discharges. However, the hospital stays following...Manuel PanPermanyerarticleMedicineRENESREC: Interventional Cardiology (English Ed.), Vol 3, Iss 4, Pp 307-308 (2021)
institution	DOAJ
collection	DOAJ
language	EN ES
topic	Medicine R
spellingShingle	Medicine R Manuel Pan Debate: Minimalist approach to TAVI as a selective strategy
description	QUESTION: For starters, what is the minimalist approach to transcatether aortic valve implantation (TAVI)? ANSWER: Minimalist TAVI is a recent strategy to simplify the procedure, reduce possible complications, and favor early hospital discharges. This general definition can be explained by 2 keys aspects: what measures should be taken? And what patients should be eligible? Replacing general anesthesia and orotracheal intubation for sedation and local anesthesia are some of these measures. Sedation with the use of a laryngeal mask airway waking up the patient once the procedure is done is an intermediate situation. The type of hospital stay following TAVI is also an important aspect to be considered and it is associated with the type of anesthesia or sedation used: intensive care unit, post-anesthesia care unit or the hospital cardiac care unit. Other minimalist approaches during the procedure would be the access site used and the percutaneous closure, to avoid bladder catheterization, use the femoral venous access, use the radial, and not the femoral, artery for monitorization purposes, and to avoid the transesophageal echocardiogram. After the implantation, promoting early walking and removing IVs as soon as possible may also help. All these measures facilitate early hospital discharges. However, the hospital stays following...
format	article
author	Manuel Pan
author_facet	Manuel Pan
author_sort	Manuel Pan
title	Debate: Minimalist approach to TAVI as a selective strategy
title_short	Debate: Minimalist approach to TAVI as a selective strategy
title_full	Debate: Minimalist approach to TAVI as a selective strategy
title_fullStr	Debate: Minimalist approach to TAVI as a selective strategy
title_full_unstemmed	Debate: Minimalist approach to TAVI as a selective strategy
title_sort	debate: minimalist approach to tavi as a selective strategy
publisher	Permanyer
publishDate	2021
url	https://doaj.org/article/6b88d8d66233487987e2a153b3216e81
work_keys_str_mv	AT manuelpan debateminimalistapproachtotaviasaselectivestrategy
_version_	1718426553230032896

Debate: Minimalist approach to TAVI as a selective strategy

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