Kardiologie up2date 2016; 12(02): 135-151
DOI: 10.1055/s-0042-107169
Kardiovaskuläre Notfälle
© Georg Thieme Verlag KG Stuttgart · New York

Nichtkoronare Notfallinterventionen

Stefan Sack
,
Jun Nakata
,
Michael Steffen Dreher
,
Tobias Heer
Weitere Informationen

Publikationsverlauf

Publikationsdatum:
23. Juni 2016 (online)

Abstract

Minimal invasive catheter guided procedures are rapidly increasing. Most recently, new techniques for valve replacement (e. g. transcatheter aortic valve implantation, TAVI) and valve repair (e. g. Mitralclip and others) have been introduced. Other procedures are the closure of left atrial appendage, closure devices for shunts, procedures of the aorta and peripheral vessels. Emergent situations can occur in all interventions which require a safe and definite solution. On the other hand minimal invasive procedure can be used in an emergent situation which occurs primarily. These are balloon aortic valvuloplasty in cardiac decompensation, pericardial effluent and tamponade, acute aortic syndrome, acute lung embolism, peripheral vessel damage, percutaneous circulatory support devices, retrival of devices lost in the heart and circulatory system. We give here a survey on the available approaches for non-coronary emergencies.