Percutaneous aortic valvuloplasty procedure and implications for nursing.
Percutaneous transluminal aortic balloon valvuloplasty (PTABV) is a procedure performed in the cardiac catheterization laboratory for some patients with severe calcific aortic stenosis. A review of the literature indicated that the procedure was beneficial to elderly patients or those who were poor candidates for surgery. The common complications of PTABV include bleeding at the catheterization site and vagal reactions during groin compression. Nursing implications in the cardiac catheterization laboratory involve ensuring patient comfort, managing the effects of cardiac instrumentation, and monitoring vital signs and vascular integrity. Post-PTABV nursing diagnoses include: (1) potential for injury or hemorrhage, (2) potential for alteration in cardiac output, (3) potential for alteration in tissue perfusion, (4) alteration in comfort, (5) potential for infection, and (6) knowledge deficits.
Nichols
L
L
Mount Carmel Medical Center, Columbus, Ohio.
Love
J M
JM
Orenchuk
R P
RP
Lach
R D
RD
D000368:Aged; D001024:Aortic Valve Stenosis / Q000451:nursing / Q000628:therapy*; D002404:Catheterization / Q000009:adverse effects / Q000451:nursing*; D006801:Humans; D008297:Male