心尖部アプローチによる経カテーテル大動脈弁留置術において術野でX線透視下持続胸部傍脊椎ブロックを施行した一症例

Fluoroscopy Guided Thoracic Paravertebral Block in Transapical Transcatheter Aortic Valve Implantation

Fukuhara Kumi

Kondo Takashi

Miyosi Hirotsugu

Kato Takahiro

Hamada Hiroshi

Kawamoto Masashi

麻酔と蘇生

Ansesthesia and Resuscitation

We report a novel technique of thoracic paravertebral block in transapical transcatheter aortic valve implantation. Radiopaque catheter for continuous paravertebral block was placed by the surgeon via guiding sheath inserted to the paravertebral space from posterior intercostal wound margin. Fluoroscopy was used for guidance of the sheath and the catheter. Postoperative course was uneventful with adequate pain control. We consider this technique can be useful for perioperative pain management in transapical transcatheter aortic valve implantation.

経カテーテル大動脈弁留置術

術後疼痛管理

胸部傍脊椎ブロック

transcatheter aortic valve implantation

postoperative pain

thoracic paravertebral block

Medical sciences [ 490 ]

jpn

広島麻酔医学会

[ISSN] 0385-1664

[NCID] AN00232251