TAVR Basics
TAVI stands for this
Transcatheter Aortic Valve Implantation
TAVR is used for this valvular disorder that may cause chest pain or shortness of breath.
Symptomatic severe aortic stenosis.
Name three things you should immediately assess at the insertion site upon arrrival
Bleeding, hematoma, or bruit
These two types of exercises should be encouraged for the patient
Deep breathing and coughing exercises
This approach is the most common for TAVR/TAVI
Transfemoral approach
Name one reason for an insufficient native valve mentioned in the slides
Congenital defects, calcium deposits, scarring, or aging
You should check these six things when performing a neurovascular assessment of the affected extremity
Color, temperature, pulse, numbness, tingling, and swelling
This is considered crucial to patient and family recovery
Emotional support
True or False: In TAVR, the old, damaged valve is surgically removed
False (It is pushed aside/implanted over)
This type of surgery is contraindicated for patients with age, obesity, diabetes, or COPD
Sternotomy
What process amongst interdisciplinary providers enhances patients post recovery period?
The handoff report
You should promote these between activities for the patient
Rest periods
Name one approach to TAVR other than Transfemoral
Transcarotid, transapical, transaortic, or transaxillary
Most patients are able to return to work within this timeframe after the procedure
Two weeks
These two categories of cardiac rhythm disturbances must be monitored for post-procedure
Bradyarrhythmias and Tachyarrhythmias
Vascular insufficiency, retroperitoneal bleed, bleeding at insertion site, pseudoaneurysm formation
The surgical incision (cut down) for this approach is performed in the neck
Transcarotid approach
True or False: Research shows TAVI patients see an improvement in quality of life at 30 days
True
Name the broad category due to which the patients recovery will take place in the ICU?
Hemodynamic instability
Name three complications of Transcarotid approach
Carotid artery injury/dissection, airway compromise/tracheal compression, recurrent laryngeal nerve palsy