Case reportNoninvasive Ventilation for Awake Percutaneous Aortic Valve Implantation in High-Risk Respiratory Patients: A Case Series
Section snippets
Case Series Presentation
Over an 18-month period, 60 patients underwent PAVI for severe AS under local anesthesia plus sedation. Among them, patients with severe respiratory disease and orthopnea underwent intraoperative NIV plus sedation in order to avoid general anesthesia and mechanical ventilation. The authors report data from 5 patients (3 men and 2 women; mean age, 79 ± 4 years) with severe AS scheduled for PAVI on the basis of a logistic EuroSCORE >20 (mean EuroSCORE, 25.7 ± 5)19 and coexisting severe pulmonary
Discussion
In 5 consecutive high-risk patients with severe chronic pulmonary disease and orthopnea, NIV allowed continuous ventilatory support during PAVI to treat severe AS. All procedures were uneventful; no complications caused by the sedation or NIV were observed. Emergent/urgent access to the patient's face for airway or respiratory management was never required. The postprocedural course was unaffected. To the best of the authors' knowledge, this is the first report of the use of NIV in this
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