Perioperative management of percutaneous edge-to-edge mitral valve repair
Percutaneous edge-to-edge mitral valve repair(PMVR)is a safe and effective alternative therapy for severe mitral re-gurgitation(MR)in patients who are at a high risk of traditional surgery or are not suitable for traditional surgery.This article provides a comprehensive overview of perioperative management of PMVR,including adequate preoperative assessment,how to select anesthesia methods,intraoperative monitoring indicators,anesthesia strategies for induction and maintenance,selection of vasoactive agents,peri-operative fluid management,adjustment of respiratory parameters,and early diagnosis and prevention of serious complications.These findings will provide theoretical evidence for establishing a good operating environment for the surgeons,safeguarding the safety of pa-tients,and reducing the incidence of perioperative complications.
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