Key result
Monitored or local anesthesia is linked to fewer complications and better outcomes versus general anesthesia in TAVR.
Why the study?
As TAVR techniques and indications have evolved toward minimally invasive procedures, anesthesia practices have shifted from general anesthesia to monitored anesthesia care or local anesthesia to improve outcomes.
The evolution of anesthesia in TAVR towards monitored anesthesia care and minimalist approaches plays a crucial role in enhancing patient recovery and optimizing procedural outcomes.
May support monitored anesthesia care in TAVR; extends observational data but leaves randomized confirmation open.
Since its introduction in 2002, transcatheter aortic valve replacement (TAVR) has gained rapid worldwide adoption, significantly increasing the survival rates of high-risk surgical patients. As key members of the multidisciplinary TAVR team, anesthesiologists play a crucial role in perioperative care. Initially, anesthesiologists administered general endotracheal anesthesia, maintained hemodynamic stability, monitored cardiac function with transesophageal echocardiography, and managed adverse events. Improvements in techniques and valve design have expanded TAVR indications, enabling minimally invasive procedures. As a result, anesthesia practices have shifted from general anesthesia to monitored anesthesia care or local anesthesia. Today, anesthesia efforts focus on refining perioperative strategies to improve patient comfort while reducing complications, length of hospital stay, costs, and mortality. These developments highlight the essential role of anesthesiologists in optimizing TAVR outcomes.
No takes yet. Share an insight, caveat, or question.
Liu et al. (2026) studied this question. Shifting from general anesthesia to monitored anesthesia care or local anesthesia has improved outcomes and reduced complications in TAVR patients.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: