oa Southern African Journal of Anaesthesia and Analgesia - New innovations in interventional cardiac procedures - role of intraprocedural echocardiography : SASA refresher course texts



The field of interventional cardiac procedures is rapidly growing. Since the "first in men" catheter-based implantation of a biological aortic valve by Cribier, the number of transcatheter based aortic replacements (TAVR) exceeds several thousand implantations per year worldwide. Beside this percutaneous treatment of mitral regurgitation (MitraClip®), closure of the left atrial appendage, and closure of a patent foramen ovale have been developed. Whereas MitraClip® procedures require general anaesthesia, percutaneous closure of the left atrial appendage as well as closure of a patent foramen ovale are usually performed without the help of anaesthesiologists and will therefore not be discussed furthermore. The transapical NeoChord DS 1000 system (NeoChord Inc, USA) is a new treatment option for patients with severe mitral regurgitation and prolapse of the posterior mitral leaflet that can be done off-pump.


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