TRANSCATHETER AORTIC VALVE REPLACEMENT (TAVR) is an alternative to surgery in patients
with severe aortic valve stenosis who are at high surgical risk.
1
The most common approach is via the femoral artery. Other approaches are possible,
notably via the carotid artery or via a transapical route by left mini thoracotomy
in patients with severe atherosclerosis. A transfemoral access procedure is carried
out under general anesthesia or monitored anesthesia care with sedation.
2
,
3
However, for the transapical procedure, general anesthesia remains the main option.
In cardiac surgery, high thoracic epidural anesthesia may lead to neuroaxial hematoma
and hypotension secondary to sympatholysis. Serratus anterior plane block (SAPB) provides
effective anesthesia of the chest wall. It could be an alternative to general anesthesia
for patients eligible for TAVR.
4
Keywords
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Article info
Publication history
Published online: February 02, 2018
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© 2017 Elsevier Inc. All rights reserved.
