Left Subclavian Transcatheter Aortic Valve Replacement Under Combined Interscalene and Pectoralis Nerve Blocks: A Case Series.

Authors

• Michael Block
• Darsi N Pitchon
• Eric S Schwenk
• Nicholas Ruggiero
• John Entwistle
• Jordan E Goldhammer

Publication/Presentation Date

12-15-2018

Abstract

The treatment for aortic stenosis is evolving rapidly with new developments in transcatheter aortic valve replacement (TAVR). While the procedure was initially performed under general anesthesia with invasive monitoring and transesophageal echocardiography, recent trends have shifted toward less invasive strategies. Transfemoral TAVRs are frequently performed under sedation; however, TAVRs using alternative access sites, such as the subclavian artery, are typically performed under general anesthesia. This case series describes 3 patients who underwent subclavian TAVR under combined pectoralis and interscalene blocks. All patients tolerated the procedure without complication, requiring no airway manipulation and minimal postoperative analgesia.

Volume

11

Issue

12

First Page

332

Last Page

335

ISSN

2575-3126

Published In/Presented At

Block, M., Pitchon, D. N., Schwenk, E. S., Ruggiero, N., Entwistle, J., & Goldhammer, J. E. (2018). Left Subclavian Transcatheter Aortic Valve Replacement Under Combined Interscalene and Pectoralis Nerve Blocks: A Case Series. A&A practice, 11(12), 332–335. https://doi.org/10.1213/XAA.0000000000000819

Disciplines

Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods

PubMedID

29927758

Department(s)

Administration and Leadership

Document Type

Article