TAVR

  1. 0 Hi! My hospital is developing a TAVR program. I currently work as an RN in a cath lab. I was wondering if any of you guys have had experience with this program... My manager asked me and another nurse to develop a help book for our department. Any advice about TAVR, experiences with working along side OR nurses, etc. would be greatly appreciated!! Thanks!
  2. Visit  NettersRN profile page

    About NettersRN

    Joined Jan '13; Posts: 2.

    14 Comments so far...

  3. Visit  FerRN profile page
    3
    All I can say is that if my mother needed this done, I would tell her no, based on the outcomes I have seen.
    malamud69, tcvnurse, and Rose_Queen like this.
  4. Visit  Rose_Queen profile page
    1
    My facility's program is still in the infancy stage, and let me tell you is there ever a steep learning curve! I agree with FerRN, until they become experts at this procedure, I wouldn't have it or encourage my family/friends to have it. I know it's higher risk since these patients aren't considered for surgical intervention, but still, not the best for good outcomes.
    CCL RN likes this.
  5. Visit  RainyDayParade22 profile page
    3
    My facility has been doing TAVRs and I have seen both positive outcomes and not so positive outcomes. You do have to take into account that these patients are high risk anyway since they are not usually candidates for open heart surgery. There is a pretty extensive workup these patients have to go through to see if they even qualify for the TAVR. I work in the step down ICU, so I see these patients come out of the ICU and follow them until they are discharged home.
    AmyCardsNP, vrp406, and CCL RN like this.
  6. Visit  vrp406 profile page
    0
    The hospital I work in will start the TAVR procedure at the end of the month. We haven't had any training yet & it worries me. I've done a lot of research on the procedure & haven't found much out. Then there's the fact my dad is scheduled to have a TAVR placed in SLC end of April. At least they've done quite a few there. Hope all goes well. If anyone has any info pass it my way please. Thanks.
  7. Visit  dianah profile page
    1
    A nursing-focused presentation on TAVR:

    http://www.pennstatehershey.org/docu...d-02ce52127c88


    Article based on the PARTNER study:

    Critical care management of patients following transcatheter aortic valve replacement - F1000Research


    Good your dad is having it at a hospital where many are done.
    I wish him the best!
    CUNICU likes this.
  8. Visit  whichone'spink profile page
    0
    Quote from FerRN
    All I can say is that if my mother needed this done, I would tell her no, based on the outcomes I have seen.
    What outcomes have you seen?

    I can say I had one patient who had a TAVR who coded 2 days after surgery because of electrolyte issues, but that can happen to a patient who has the traditional open heart surgery. I took care of him well after that event occurred, because he had a trach and was difficult to wean off the vent, so he was on my med surg floor.
  9. Visit  Nervous1 profile page
    1
    Quote from FerRN
    All I can say is that if my mother needed this done, I would tell her no, based on the outcomes I have seen.

    Ditto
    tcvnurse likes this.
  10. Visit  Nervous1 profile page
    0
    Stroke is our main issue post operatively. Have seen 1 MVR done via TAVR approach on a very young person that seemed to turn out well. I think we have done 10 and I would estimate that 6 had a stroke post op. 2 have done really, really well. But they are few and far between.
  11. Visit  delphine22 profile page
    1
    We have established a "valve clinic" which supposedly is one of the early steps to be able to do TAVR. Just heard the CT surgeons discuss it at a symposium and even they made it sound like not a good approach. The surgeon giving the talk seemed to much prefer the mini-AVR instead.
    tcvnurse likes this.
  12. Visit  MendedHeart profile page
    2
    We have been doing TAVRS for a good while now. Most of the patient outcomes are good. There have been a few that didn't do so good. One thing to remember is that this procedure is donE because the patient cannot have conventional Valve surgery per sternotomy. These patients already have many comorbidities. This adds a year + to the patients life.
    RNKPCE and delphine22 like this.
  13. Visit  CUNICU profile page
    0
    Our hospital recently started a TAVR program. Can you please shed some light on how you are securing your temp pacing wires? Ours are transvenous and in our first case was pulled with the PA catheter r/t leaking at the site. Thanks for your response. S
  14. Visit  michlynn profile page
    1
    Our hospital has been doing this procedure for a while now, about 2 years now and I've seen mostly positive outcomes. We've only had one person pass secondary to TAVR complications and the doctor had warned this patient and family that he was high risk because of poor kidney function. What you have to remember about TAVR is that the patients are already high risk to begin with, they aren't surgical candidates and are typically over the age of 70 and this is their very last resort. Our doctors are making great strides with this procedure and our patients don't even leave with a scar anymore. They've completely gotten rid of the cutdown in the groin and now only do it through a small puncture like a heart cath. Our patients typically go to the ICU for one day, cardiac/tele unit for 2 days and are, for the most part, walking out of the hospital on the 3rd day with very very minimal risk for infection (no cutdown site) and very few physical restrictions.
    RNKPCE likes this.


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