Clinical Nursing Care for Patients with Transcatheter Aortic Valve Implantation in Coronary Care Unit_West China Medical Journal

Authors：

 WANGYa-li , WANGQian , GULi-dan , LIAOXian-zhen ,  YOUGui-ying

Department of Cardiology, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

YOUGui-ying, Email: guiying_you@163.com

Keywords：

Aortic valve stenosis; Transcatheter aortic valve implantation; Postoperative nursing

DOI：

10.7507/1002-0179.20150031

Video：

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Objective To study the nursing methods for patients after transcatheter aortic valve implantation (TAVI). Methods From April 2012 to August 2013, 25 patients undergoing TAVI before returning to the coronary care unit (CCU) were included in this study. We reviewed the clinical nursing methods and summarized the clinical nursing experiences. Results Among the 25 patients, there were 1 case complicated with retroperitoneal hematoma, 1 case with hemorrhage of upper digestive tract, 1 case with severe hemorrhage of femoral artery incision site, 1 case with mild hemorrhage of femoral artery puncture site, 1 case with catheter-related infections of right external jugular vein, and 2 cases with hemorrhage related to the loosening of radial artery invasive blood pressure monitoring. All the complications were controlled by reasonable treatments and all the patients were transferred out from CCU with stable vital signs. The mean time of CCU stay was 29 hours ranging from 14 hours to 243 hours. Conclusion Due to special characteristics of patients after TAVI, we should observe carefully, follow the nursing operation rules strictly, discover complications timely, give treatment correctly, and finally ensure the safety of patients during the high risk period.

Citation： WANGYa-li, WANGQian, GULi-dan, LIAOXian-zhen, YOUGui-ying. Clinical Nursing Care for Patients with Transcatheter Aortic Valve Implantation in Coronary Care Unit. West China Medical Journal, 2015, 30(1): 108-111. doi: 10.7507/1002-0179.20150031 Copy

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5.	姚丽英, 陈飞兵, 吴玉叶. COPD病人使用无创呼吸机的护理[J].齐齐哈尔医学院学报, 2006, 27(13):1631-1632.
6.	杨玉, 李榕彬, 刘春雪.经导管主动脉瓣置换术患者二例的护理[J].解放军护理杂志, 2012, 29(6):37-39.
7.	尤黎明, 吴瑛.内科护理学[M]. 4版.北京:人民卫生出版社, 2006:178-190.
8.	杨红飞.心脏瓣膜置换术患者围手术期护理[J].中外医疗, 2010, 29(24):146.
9.	杨跃进.经导管主动脉瓣置入术的现状及展望[J].中国循环杂志, 2013, 28(3):161-163.
10.	Leon MB, Smith CR, Mack M, et al. Transcatheter aortic-valve implantation for aortic stenosis in patients who cannot undergo surgery[J]. N Engl J Med, 2010, 363(17):1597-1607.
11.	Smith CR, Leon MB, Mack MJ, et al. Transcatheter versus surgical aortic-valve replacement in high-risk patients[J]. N Engl J Med, 2011, 364(23):2187-2198.
12.	Ussia GP, Barbanti M, Petronio AS, et al. Transcatheter aortic valve implantation:3-year outcomes of self-expanding CoreValve prosthesis[J]. Eur Heart J, 2012, 33(8):969-976.
13.	郑明霞, 杨洋, 辜桃, 等.经导管主动脉瓣置入术中的护理[J].华西医学, 2012, 27(8):1234-1236.
14.	陈茂, 冯沅, 唐红, 等.经导管主动脉瓣植入术三例[J].华西医学, 2012, 27(7):1119-1120.

1. Lung B, Cachier A, Baron G, et al. Decision-making in elderly patients with severe aortic stenosis:why are so many denied surgery[J]. Eur Heart J, 2005, 26(24):2714-2720.
2. 杨跃进, 吴永健, 王欣, 等.经导管主动脉瓣(CoreValve)置入术二例报告[J].中国循环杂志, 2010, 25(6):482-483.
3. 李淑芹. 23例COPD合并Ⅱ型呼吸衰竭患者使用无创呼吸机的护理[J].中国实用医药, 2010, 5(31):208.
4. 高艳红.慢性阻塞性肺疾病患者使用无创呼吸机的护理体会[J].内蒙古医学杂志, 2010, 42(9):1140-1142.
5. 姚丽英, 陈飞兵, 吴玉叶. COPD病人使用无创呼吸机的护理[J].齐齐哈尔医学院学报, 2006, 27(13):1631-1632.
6. 杨玉, 李榕彬, 刘春雪.经导管主动脉瓣置换术患者二例的护理[J].解放军护理杂志, 2012, 29(6):37-39.
7. 尤黎明, 吴瑛.内科护理学[M]. 4版.北京:人民卫生出版社, 2006:178-190.
8. 杨红飞.心脏瓣膜置换术患者围手术期护理[J].中外医疗, 2010, 29(24):146.
9. 杨跃进.经导管主动脉瓣置入术的现状及展望[J].中国循环杂志, 2013, 28(3):161-163.
10. Leon MB, Smith CR, Mack M, et al. Transcatheter aortic-valve implantation for aortic stenosis in patients who cannot undergo surgery[J]. N Engl J Med, 2010, 363(17):1597-1607.
11. Smith CR, Leon MB, Mack MJ, et al. Transcatheter versus surgical aortic-valve replacement in high-risk patients[J]. N Engl J Med, 2011, 364(23):2187-2198.
12. Ussia GP, Barbanti M, Petronio AS, et al. Transcatheter aortic valve implantation:3-year outcomes of self-expanding CoreValve prosthesis[J]. Eur Heart J, 2012, 33(8):969-976.
13. 郑明霞, 杨洋, 辜桃, 等.经导管主动脉瓣置入术中的护理[J].华西医学, 2012, 27(8):1234-1236.
14. 陈茂, 冯沅, 唐红, 等.经导管主动脉瓣植入术三例[J].华西医学, 2012, 27(7):1119-1120.

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West China Medical Journal

Clinical Nursing Care for Patients with Transcatheter Aortic Valve Implantation in Coronary Care Unit

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