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- Title
Quality of Life after TAVR: Now I Need a New Hip!
- Authors
Cosman, T. L.; Smith, A.
- Abstract
Transcatheter aortic valve replacement (TAVR) was introduced in 2002, as a treatment option for patients with significant aortic stenosis who were non-surgical candidates for valve replacement. Since that time, TAVR has become increasingly common with an estimated 9,000 new TAVR candidates yearly in North America. Patients undergoing TAVR are often elderly with numerous non-cardiac health issues that may significantly impact quality of life. This presentation will describe the trajectory of two patients with significant osteoarthritis who presented for elective orthopaedic surgery following TAVR. Issues addressed prior to surgery and potential postoperative complications related to TAVR will be presented. The case studies will describe clinical issues that arose with these patients postoperatively and how they were managed. Lessons learned, including how to prepare the nursing staff and improve collaboration with the TAVR Nurse Practitioner will be presented. The growing number of patients undergoing TAVR will result in an increasing number of these patients presenting for non-cardiac surgery. As these patients re-enter the health care system, it is important that all health care professionals have an understanding of TAVR and its impact on clinical care. The significance of TAVR for orthopaedic surgery and the need for education for all staff caring for these patients was noted following these cases. The importance of building collaboration between nursing specialties is important in this patient population to ensure seamless quality patient care.
- Subjects
AORTIC stenosis; ENDOSCOPIC surgery; ORTHOPEDIC surgery; QUALITY of life
- Publication
Canadian Journal of Cardiovascular Nursing, 2016, Vol 26, Issue 3, p5
- ISSN
0843-6096
- Publication type
Article