Interpretation of <i>Chinese Expert Consensus on Perioperative Nursing of Transcatheter Aortic Valve Replacement</i>_West China Medical Journal

Authors：

GE Yan , CHEN Zhonglan , ZHAO Zhengang , PENG Yong , WEI Jiafu ,  ZHENG Mingxia

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

Corresponding?author：

ZHENG Mingxia, Email: zhengmingxia353@163.com

Keywords：

Transcatheter aortic valve replacement; perioperative nursing; expert consensus; interpretation

DOI：

10.7507/1002-0179.202408346

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Transcatheter aortic valve replacement (TAVR) can effectively treat symptomatic severe aortic valve stenosis, and its applicable population is gradually expanding. The perioperative and rehabilitation care of TAVR is an important influencing factor for the success of the surgery. The release of the Chinese Expert Consensus on Perioperative Nursing of Transcatheter Aortic Valve Replacement has promoted the homogenization and high-quality care of TAVR patients in China. In order to better understand the key issues of TAVR perioperative nursing and serve clinical practice, this article provides a detailed interpretation of the above consensus based on five key issues of preoperative nursing, intraoperative monitoring, postoperative intensive care nursing, ward nursing, and nutritional assessment.

Citation： GE Yan, CHEN Zhonglan, ZHAO Zhengang, PENG Yong, WEI Jiafu, ZHENG Mingxia. Interpretation of Chinese Expert Consensus on Perioperative Nursing of Transcatheter Aortic Valve Replacement. West China Medical Journal, 2024, 39(11): 1699-1703. doi: 10.7507/1002-0179.202408346 Copy

1.	經導管主動脈瓣置換術流程優化共識專家組. 經導管主動脈瓣置換術(TAVR)流程優化專家共識 2022 版. 中華急診醫學雜志, 2022, 31(2): 154-160.
2.	中華醫學會心血管病學分會, 中華心血管病雜志編輯委員會. 經導管主動脈瓣置換術圍術期護理中國專家共識. 中華心血管病雜志, 2024, 52(9): 1033-1043.
3.	中華醫學會老年醫學分會, 《中華老年醫學雜志》編輯委員會. 老年人衰弱預防中國專家共識(2022). 中華老年醫學雜志, 2022, 41(5): 503-511.
4.	Koh LY, Hwang NC. Frailty in cardiac surgery. J Cardiothorac Vasc Anesth, 2019, 33(2): 521-531.
5.	Hermiller JB Jr, Yakubov SJ, Reardon MJ, et al. Predicting early and late mortality after transcatheter aortic valve replacement. J Am Coll Cardiol, 2016, 68(4): 343-352.
6.	Baumgartner H, Falk V, Bax JJ, et al. 2017 ESC/EACTS guidelines for the management of valvular heart disease. Eur Heart J, 2017, 38(36): 2739-2791.
7.	中華醫學會心血管病學分會老年學組, 國家老年疾病臨床醫學研究中心(解放軍總醫院). 老年心血管疾病合并衰弱評估與管理中國專家共識. 中華老年多器官疾病雜志, 2023, 22(7): 481-491.
8.	中華醫學會老年醫學分會, 解放軍總醫院老年醫學教研室. 老年患者術前評估中國專家建議(2015). 中華老年醫學雜志, 2015, 34(11): 1273-1280.
9.	Church S, Rogers E, Rockwood K, et al. A scoping review of the Clinical Frailty Scale. BMC Geriatr, 2020, 20(1): 393.
10.	Mack MJ, Leon MB, Smith CR, et al. 5-year outcomes of transcatheter aortic valve replacement or surgical aortic valve replacement for high surgical risk patients with aortic stenosis (PARTNER 1): a randomised controlled trial. Lancet, 2015, 385(9986): 2477-2484.
11.	Popma JJ, Deeb GM, Yakubov SJ, et al. Transcatheter aortic-valve replacement with a self-expanding valve in low-risk patients. N Engl J Med, 2019, 380(18): 1706-1715.
12.	Gomez CA, Braghiroli J, de Marchena E. “The changing paradigm”: TAVR for low-risk patients approved by the FDA. J Card Surg, 2020, 35(1): 5-7.
13.	中國醫師協會心血管內科醫師分會結構性心臟病專業委員會, 中華醫學會心血管病學分會結構性心臟病學組. 經導管主動脈瓣置換團隊建設及運行規范中國專家建議. 中國介入心臟病學雜志, 2018, 26(1): 2-6.
14.	Thomas M, Schymik G, Walther T, et al. Thirty-day results of the Sapien aortic bioprosthesis european outcome (SOURCE) registry: a European registry of transcatheter aortic valve implantation using the Edwards Sapien valve. Circulation, 2010, 122(1): 62-69.
15.	Eltchaninoff H, Prat A, Gilard M, et al. Transcatheter aortic valve implantation: early results of the FRANCE (French aortic national corevalve and Edwards) registry. Eur Heart J, 2011, 32(2): 191-197.
16.	Zahn R, Gerckens U, Grube E, et al. Transcatheter aortic valve implantation: first results from a multi-centre real-world registry. Eur Heart J, 2011, 32(2): 198-204.
17.	Tchetche D, Farah B, Misuraca L, et al. Cerebrovascular events post-transcatheter aortic valve replacement in a large cohort of patients: a FRANCE-2 registry substudy. JACC Cardiovasc Interv, 2014, 7(10): 1138-1145.
18.	Tay EL, Gurvitch R, Wijesinghe N, et al. A high-risk period for cerebrovascular events exists after transcatheter aortic valve implantation. JACC Cardiovasc Interv, 2011, 4(12): 1290-1297.
19.	Hynes BG, Rodés-Cabau J. Transcatheter aortic valve implantation and cerebrovascular events: the current state of the art. Ann N Y Acad Sci, 2012, 1254: 151-163.
20.	Antipova D, Eadie L, Macaden A, et al. Diagnostic accuracy of clinical tools for assessment of acute stroke: a systematic review. BMC Emerg Med, 2019, 19(1): 49.
21.	Kapadia SR, Huded CP, Kodali SK, et al. Stroke after surgical versus transfemoral transcatheter aortic valve replacement in the PARTNER trial. J Am Coll Cardiol, 2018, 72(20): 2415-2426.
22.	York NL, Kane C, Smith CS. Identification and management of acute cardiac tamponade. Dimens Crit Care Nurs, 2018, 37(3): 130-134.
23.	Sherwood MW, Xiang K, Matsouaka R, et al. Incidence, temporal trends, and associated outcomes of vascular and bleeding complications in patients undergoing transfemoral transcatheter aortic valve replacement: insights from the Society of Thoracic Surgeons/American College of Cardiology Transcatheter Valve Therapies Registry. Circ Cardiovasc Interv, 2020, 13(1): e008227.
24.	Ruge H, Burri M, Erlebach M, et al. Access site related vascular complications with third generation transcatheter heart valve systems. Catheter Cardiovasc Interv, 2021, 97(2): 325-332.
25.	Zhang B, Kim M, Griffiths C, et al. Incidence of splanchnic vein thrombosis after abdominal surgery: a systematic review and meta-analysis. J Surg Res, 2020, 245: 500-509.
26.	中華醫學會外科學分會血管外科學組. 深靜脈血栓形成的診斷和治療指南(第三版). 中國血管外科雜志(電子版), 2017, 9(4): 250-257.
27.	Tick LW, Kramer MH, Rosendaal FR, et al. Risk factors for post-thrombotic syndrome in patients with a first deep venous thrombosis. J Thromb Haemost, 2008, 6(12): 2075-2081.
28.	《中國血栓性疾病防治指南》專家委員會. 中國血栓性疾病防治指南. 中華醫學雜志, 2018, 98(36): 2861-2888.
29.	中華護理學會外科護理專業委員會, 中華醫學會外科學分會護理學組. 普通外科患者靜脈血栓栓塞癥風險評估與預防護理專家共識. 中華護理雜志, 2022, 57(4): 444-449.
30.	Chu CS, Liang CK, Chou MY, et al. Mini-Nutritional Assessment Short-Form as a useful method of predicting poor 1-year outcome in elderly patients undergoing orthopedic surgery. Geriatr Gerontol Int, 2017, 17(12): 2361-2368.
31.	Maruyama K, Nakagawa N, Koyama S, et al. Malnutrition increases the incidence of death, cardiovascular events, and infections in patients with stroke after rehabilitation. J Stroke Cerebrovasc Dis, 2018, 27(3): 716-723.
32.	Bhatia N, Basra SS, Skolnick AH, et al. Aortic valve disease in the older adult. J Geriatr Cardiol, 2016, 13(12): 941-944.
33.	Skipper A, Coltman A, Tomesko J, et al. Adult malnutrition (undernutrition) screening: an evidence analysis center systematic review. J Acad Nutr Diet, 2020, 120(4): 669-708.
34.	Singer P, Blaser AR, Berger MM, et al. ESPEN guideline on clinical nutrition in the intensive care unit. Clin Nutr, 2019, 38(1): 48-79.
35.	Doi S, Ashikaga K, Kida K, et al. Prognostic value of Mini Nutritional Assessment-Short Form with aortic valve stenosis following transcatheter aortic valve implantation. ESC Heart Fail, 2020, 7(6): 4024-4031.

1. 經導管主動脈瓣置換術流程優化共識專家組. 經導管主動脈瓣置換術(TAVR)流程優化專家共識 2022 版. 中華急診醫學雜志, 2022, 31(2): 154-160.
2. 中華醫學會心血管病學分會, 中華心血管病雜志編輯委員會. 經導管主動脈瓣置換術圍術期護理中國專家共識. 中華心血管病雜志, 2024, 52(9): 1033-1043.
3. 中華醫學會老年醫學分會, 《中華老年醫學雜志》編輯委員會. 老年人衰弱預防中國專家共識(2022). 中華老年醫學雜志, 2022, 41(5): 503-511.
4. Koh LY, Hwang NC. Frailty in cardiac surgery. J Cardiothorac Vasc Anesth, 2019, 33(2): 521-531.
5. Hermiller JB Jr, Yakubov SJ, Reardon MJ, et al. Predicting early and late mortality after transcatheter aortic valve replacement. J Am Coll Cardiol, 2016, 68(4): 343-352.
6. Baumgartner H, Falk V, Bax JJ, et al. 2017 ESC/EACTS guidelines for the management of valvular heart disease. Eur Heart J, 2017, 38(36): 2739-2791.
7. 中華醫學會心血管病學分會老年學組, 國家老年疾病臨床醫學研究中心(解放軍總醫院). 老年心血管疾病合并衰弱評估與管理中國專家共識. 中華老年多器官疾病雜志, 2023, 22(7): 481-491.
8. 中華醫學會老年醫學分會, 解放軍總醫院老年醫學教研室. 老年患者術前評估中國專家建議(2015). 中華老年醫學雜志, 2015, 34(11): 1273-1280.
9. Church S, Rogers E, Rockwood K, et al. A scoping review of the Clinical Frailty Scale. BMC Geriatr, 2020, 20(1): 393.
10. Mack MJ, Leon MB, Smith CR, et al. 5-year outcomes of transcatheter aortic valve replacement or surgical aortic valve replacement for high surgical risk patients with aortic stenosis (PARTNER 1): a randomised controlled trial. Lancet, 2015, 385(9986): 2477-2484.
11. Popma JJ, Deeb GM, Yakubov SJ, et al. Transcatheter aortic-valve replacement with a self-expanding valve in low-risk patients. N Engl J Med, 2019, 380(18): 1706-1715.
12. Gomez CA, Braghiroli J, de Marchena E. “The changing paradigm”: TAVR for low-risk patients approved by the FDA. J Card Surg, 2020, 35(1): 5-7.
13. 中國醫師協會心血管內科醫師分會結構性心臟病專業委員會, 中華醫學會心血管病學分會結構性心臟病學組. 經導管主動脈瓣置換團隊建設及運行規范中國專家建議. 中國介入心臟病學雜志, 2018, 26(1): 2-6.
14. Thomas M, Schymik G, Walther T, et al. Thirty-day results of the Sapien aortic bioprosthesis european outcome (SOURCE) registry: a European registry of transcatheter aortic valve implantation using the Edwards Sapien valve. Circulation, 2010, 122(1): 62-69.
15. Eltchaninoff H, Prat A, Gilard M, et al. Transcatheter aortic valve implantation: early results of the FRANCE (French aortic national corevalve and Edwards) registry. Eur Heart J, 2011, 32(2): 191-197.
16. Zahn R, Gerckens U, Grube E, et al. Transcatheter aortic valve implantation: first results from a multi-centre real-world registry. Eur Heart J, 2011, 32(2): 198-204.
17. Tchetche D, Farah B, Misuraca L, et al. Cerebrovascular events post-transcatheter aortic valve replacement in a large cohort of patients: a FRANCE-2 registry substudy. JACC Cardiovasc Interv, 2014, 7(10): 1138-1145.
18. Tay EL, Gurvitch R, Wijesinghe N, et al. A high-risk period for cerebrovascular events exists after transcatheter aortic valve implantation. JACC Cardiovasc Interv, 2011, 4(12): 1290-1297.
19. Hynes BG, Rodés-Cabau J. Transcatheter aortic valve implantation and cerebrovascular events: the current state of the art. Ann N Y Acad Sci, 2012, 1254: 151-163.
20. Antipova D, Eadie L, Macaden A, et al. Diagnostic accuracy of clinical tools for assessment of acute stroke: a systematic review. BMC Emerg Med, 2019, 19(1): 49.
21. Kapadia SR, Huded CP, Kodali SK, et al. Stroke after surgical versus transfemoral transcatheter aortic valve replacement in the PARTNER trial. J Am Coll Cardiol, 2018, 72(20): 2415-2426.
22. York NL, Kane C, Smith CS. Identification and management of acute cardiac tamponade. Dimens Crit Care Nurs, 2018, 37(3): 130-134.
23. Sherwood MW, Xiang K, Matsouaka R, et al. Incidence, temporal trends, and associated outcomes of vascular and bleeding complications in patients undergoing transfemoral transcatheter aortic valve replacement: insights from the Society of Thoracic Surgeons/American College of Cardiology Transcatheter Valve Therapies Registry. Circ Cardiovasc Interv, 2020, 13(1): e008227.
24. Ruge H, Burri M, Erlebach M, et al. Access site related vascular complications with third generation transcatheter heart valve systems. Catheter Cardiovasc Interv, 2021, 97(2): 325-332.
25. Zhang B, Kim M, Griffiths C, et al. Incidence of splanchnic vein thrombosis after abdominal surgery: a systematic review and meta-analysis. J Surg Res, 2020, 245: 500-509.
26. 中華醫學會外科學分會血管外科學組. 深靜脈血栓形成的診斷和治療指南(第三版). 中國血管外科雜志(電子版), 2017, 9(4): 250-257.
27. Tick LW, Kramer MH, Rosendaal FR, et al. Risk factors for post-thrombotic syndrome in patients with a first deep venous thrombosis. J Thromb Haemost, 2008, 6(12): 2075-2081.
28. 《中國血栓性疾病防治指南》專家委員會. 中國血栓性疾病防治指南. 中華醫學雜志, 2018, 98(36): 2861-2888.
29. 中華護理學會外科護理專業委員會, 中華醫學會外科學分會護理學組. 普通外科患者靜脈血栓栓塞癥風險評估與預防護理專家共識. 中華護理雜志, 2022, 57(4): 444-449.
30. Chu CS, Liang CK, Chou MY, et al. Mini-Nutritional Assessment Short-Form as a useful method of predicting poor 1-year outcome in elderly patients undergoing orthopedic surgery. Geriatr Gerontol Int, 2017, 17(12): 2361-2368.
31. Maruyama K, Nakagawa N, Koyama S, et al. Malnutrition increases the incidence of death, cardiovascular events, and infections in patients with stroke after rehabilitation. J Stroke Cerebrovasc Dis, 2018, 27(3): 716-723.
32. Bhatia N, Basra SS, Skolnick AH, et al. Aortic valve disease in the older adult. J Geriatr Cardiol, 2016, 13(12): 941-944.
33. Skipper A, Coltman A, Tomesko J, et al. Adult malnutrition (undernutrition) screening: an evidence analysis center systematic review. J Acad Nutr Diet, 2020, 120(4): 669-708.
34. Singer P, Blaser AR, Berger MM, et al. ESPEN guideline on clinical nutrition in the intensive care unit. Clin Nutr, 2019, 38(1): 48-79.
35. Doi S, Ashikaga K, Kida K, et al. Prognostic value of Mini Nutritional Assessment-Short Form with aortic valve stenosis following transcatheter aortic valve implantation. ESC Heart Fail, 2020, 7(6): 4024-4031.

West China Medical Journal

Interpretation of Chinese Expert Consensus on Perioperative Nursing of Transcatheter Aortic Valve Replacement

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content