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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6.	楊玉, 李榕彬, 劉春雪.經導管主動脈瓣置換術患者二例的護理[J].解放軍護理雜志, 2012, 29(6):37-39.
7.	尤黎明, 吳瑛.內科護理學[M]. 4版.北京:人民衛生出版社, 2006:178-190.
8.	楊紅飛.心臟瓣膜置換術患者圍手術期護理[J].中外醫療, 2010, 29(24):146.
9.	楊躍進.經導管主動脈瓣置入術的現狀及展望[J].中國循環雜志, 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.	鄭明霞, 楊洋, 辜桃, 等.經導管主動脈瓣置入術中的護理[J].華西醫學, 2012, 27(8):1234-1236.
14.	陳茂, 馮沅, 唐紅, 等.經導管主動脈瓣植入術三例[J].華西醫學, 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. 楊躍進, 吳永健, 王欣, 等.經導管主動脈瓣(CoreValve)置入術二例報告[J].中國循環雜志, 2010, 25(6):482-483.
3. 李淑芹. 23例COPD合并Ⅱ型呼吸衰竭患者使用無創呼吸機的護理[J].中國實用醫藥, 2010, 5(31):208.
4. 高艷紅.慢性阻塞性肺疾病患者使用無創呼吸機的護理體會[J].內蒙古醫學雜志, 2010, 42(9):1140-1142.
5. 姚麗英, 陳飛兵, 吳玉葉. COPD病人使用無創呼吸機的護理[J].齊齊哈爾醫學院學報, 2006, 27(13):1631-1632.
6. 楊玉, 李榕彬, 劉春雪.經導管主動脈瓣置換術患者二例的護理[J].解放軍護理雜志, 2012, 29(6):37-39.
7. 尤黎明, 吳瑛.內科護理學[M]. 4版.北京:人民衛生出版社, 2006:178-190.
8. 楊紅飛.心臟瓣膜置換術患者圍手術期護理[J].中外醫療, 2010, 29(24):146.
9. 楊躍進.經導管主動脈瓣置入術的現狀及展望[J].中國循環雜志, 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. 鄭明霞, 楊洋, 辜桃, 等.經導管主動脈瓣置入術中的護理[J].華西醫學, 2012, 27(8):1234-1236.
14. 陳茂, 馮沅, 唐紅, 等.經導管主動脈瓣植入術三例[J].華西醫學, 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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