Anesthetic Implications for Interventional Cardiological Procedures

Abstract

Anesthetic support for interventional cardiology procedures is increasing as the number and complexity of these procedures rapidly expand. Providing safe anesthesia care to patients undergoing these procedures requires comprehensive preoperative assessment, involvement in the multidisciplinary planning of these cases, and a detailed understanding of the procedures and their potential complications. Eectrophysiology (EP) procedures, the implantation and removal of pacemaker, rhythm management devices and congenital heart disease (CHD) repair are undertaken in cardiac catheterization laboratories. An outline of these procedures and their major periprocedural complications are showed with recommendations for their anesthetic management. The anesthetic implications of ionizing radiation and practice in a remote location are also covered. Congenital heart diseases can also be treated by trans catheter approaches like: closure of intracardiac shunts, closure of patent ductus arteriosus (PDA), left atrial appendage (LAA) occlusion devices, ventricular septal defect (VSD), atrial septal defect (ASD), patent foramen ovale (PFO).