Why the study?
Transcatheter aortic valve implantation has evolved from general anesthesia and cutdown access into a minimalist approach, prompting a discussion on incorporating this minimalist strategy into clinical practice.
The review highlights the transition of TAVI procedures towards a minimalist approach, emphasizing local anesthesia and conscious sedation as contemporary standards.
Minimalist TAVI may be adopted in experienced centers; leaves open need for randomized data on universal safety and outcomes.
Transcatheter aortic valve implantation (TAVI) went through a huge evolution in the last decades. Previously performed under general anesthesia, with transoperative transesophageal echocardiography guidance and using cutdown femoral artery access, the procedure has now evolved into a minimalist approach, with local anesthesia, conscious sedation, and the avoidance of invasive lines becoming the new standards. Here, we discuss the minimalist TAVI approach and how we incorporate it into our current clinical practice.
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Tagliari et al. (2023) studied this question.
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