TAVI
Airway: Sedation or GA. Access: Wide-bore IV, arterial line, consider central line or pacing wire. Pain: Position: Time: Blood loss: Special:
Transarterial/endoluminal insertion of a prosthetic aortic valve. Anaesthetic strategies include:
- Sedation
- Arterial line required
- CVC or pacing wire may be requried
- GA
Considerations
- C
- Severity
Stenosis will worsen as sheath is positioned across the aortic valve. If AVA is already very low, then acute LV failure may occur. - Pacing wire
Potential for LBBB to occur during valve placement secondary to AV nodal damage. Consider pacing wire insertion in patients who are:- Extremely unwell
- Have a prexisting RBBB
- Severity
Preparation
Induction
Intraoperative
Surgical Stages
- Cannulation of femoral vessel
- Placement of sheath through the aortic valve
- Balloon dilation of aortic valve
- Removal of large femoral sheath