Ten things ICU specialists need to know about new valvular procedures in interventional cardiology

  • Enzo Lüsebrink
  • Steffen Massberg
  • Martin OrbanEmail author
What's New in Intensive Care

Every day, intensivists around the world are confronted with new and rapidly growing numbers of cardiac devices as part of an ever-evolving approach to treat heart diseases. Particularly noteworthy in this context are: one, transcatheter aortic valve replacement (TAVR); two, trans-septal procedures including transcatheter mitral valve repair (TMVR); and three, transcatheter tricuspid valve repair (TTVR). Different risk profiles of these procedures call for constant vigilance in terms of recognizing and reporting complications. There is a trend towards avoiding ICU admission for some of these patients, particularly for TAVR procedures, and the intensivist is likely to encounter complications in patients treated in the coronary care unit or onwards at various times post procedure. In this article, we outline ten important complications ICU specialists need to know related to these new procedures. Moreover, the extended heart team, which also includes the intensivist, can be an excellent...



There was no funding for this study.

Compliance with ethical standards

Conflicts of interest

Martin Orban has received speaker honoraria from SedanaMedical and AstraZeneca, outside the submitted work and the other authors have no conflicts of interest to declare.

Ethical approval

All ethical standards were met in writing and submitting this correspondence.


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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Intensive Care Unit, Medizinische Klinik und Poliklinik IKlinikum der Universität MünchenMunichGermany
  2. 2.DZHK (German Center for Cardiovascular Research), partner site Munich Heart Alliance, Medizinische Klinik und Poliklinik IKlinikum der Universität MünchenMunichGermany

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