Key result
The anesthetic management of transcatheter aortic valve implantation varies widely and depends on patient profile, procedural characteristics, and institutional organization.
Anesthetic management for TAVI varies widely and should be tailored based on patient profile, procedural technique, and institutional experience through a multidisciplinary team approach.
Supports tailored TAVI anesthesia by patient and procedural factors; leaves open standardization via prospective trials.
An increasing number of patients with a high risk for surgery because of advanced age and associated comorbidities that significantly increase the perioperative risk successfully undergo transcatheter aortic valve implantation (TAVI). TAVI is commonly performed under general or local anesthesia or local anesthesia plus mild sedation to achieve a conscious sedation. The anesthetic regimen generally depends on the patient's clinical profile and the procedural technical characteristics, but the center's experience and internal organization likely play an important role in anesthetic decision making. The large variation in anesthetic management among various centers and countries likely depends on the different composition of the operating team and institutional organization. Therefore, a tight interaction among the various members of the TAVI team, including the cardiac anesthetist, provides the proper anesthetic management using the chosen procedural technique.
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Guarracino et al. (2015) conducted a review in Transcatheter aortic valve implantation (TAVI). Anesthetic management was evaluated. The anesthetic management of transcatheter aortic valve implantation varies widely and depends on patient profile, procedural characteristics, and institutional organization.
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