Scholarlink

Structural heart interventions encompass traditional open-heart surgery, transcatheter techniques, and hybrid procedures combining surgical and percutaneous approaches. The Heart Team paradigm ensures that each patient’s anatomy and comorbidities are evaluated to choose the optimal approach (Vahanian A, et al. EuroIntervention 17(14):e1126–e1196, 2022). Minimally invasive and hybrid techniques have expanded indications for intervention, but they introduce new technical challenges and specific risks. For example, transcatheter aortic valve replacement (TAVR) avoids sternotomy and cardiopulmonary bypass, but has higher rates of vascular complications and conduction disturbances than surgical aortic valve replacement (Vahanian A, et al. EuroIntervention 17(14):e1126–e1196, 2022). Comprehensive knowledge of possible complications is essential for prevention, early diagnosis, and management. This chapter reviews common and procedure-specific complications in structural heart interventions and outlines evidence-based management and surveillance strategies. This chapter addresses the complications that may arise during and after cardiac surgery, as well as effective strategies for their management. The authors emphasize the importance of early recognition and prompt intervention to reduce both mortality and morbidity. Additionally, the chapter underlines the critical role of the medical team, close monitoring, and individualized treatment protocols.

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Managing Complications in Cardiac Interventions: Challenges and Solutions

  • 章节

  • 发表日期：

    2026年

查看全文
  • Silviu Paul Stoleriu,
  • Mihail Enache,
  • Andrei Țăruș,
  • Alberto Bacușcă,
  • Grigore Tinică

摘要

Structural heart interventions encompass traditional open-heart surgery, transcatheter techniques, and hybrid procedures combining surgical and percutaneous approaches. The Heart Team paradigm ensures that each patient’s anatomy and comorbidities are evaluated to choose the optimal approach (Vahanian A, et al. EuroIntervention 17(14):e1126–e1196, 2022). Minimally invasive and hybrid techniques have expanded indications for intervention, but they introduce new technical challenges and specific risks. For example, transcatheter aortic valve replacement (TAVR) avoids sternotomy and cardiopulmonary bypass, but has higher rates of vascular complications and conduction disturbances than surgical aortic valve replacement (Vahanian A, et al. EuroIntervention 17(14):e1126–e1196, 2022). Comprehensive knowledge of possible complications is essential for prevention, early diagnosis, and management. This chapter reviews common and procedure-specific complications in structural heart interventions and outlines evidence-based management and surveillance strategies. This chapter addresses the complications that may arise during and after cardiac surgery, as well as effective strategies for their management. The authors emphasize the importance of early recognition and prompt intervention to reduce both mortality and morbidity. Additionally, the chapter underlines the critical role of the medical team, close monitoring, and individualized treatment protocols.