A critical evaluation of available evidence highlights the need for an individualized approach to anaesthetic management rather than a universal minimally invasive strategy for TAVI procedures.
Does a minimally invasive anaesthetic approach improve safety and success in patients undergoing TAVI compared to general anaesthesia?
This editorial emphasizes the importance of individualized anaesthetic management for TAVI procedures, questioning the universal preference for minimally invasive approaches.
In association with growing operator experience and increasingly sophisticated delivery systems and valve prostheses, the anaesthetic management of patients undergoing transfemoral transcatheter aortic valve implantation (TAVI) has changed in many centres from general anaesthesia with invasive monitoring to local anaesthesia with conscious sedation or solely local anaesthesia. In a recent issue of the British Journal of Anaesthesia, a group of Italian experts in cardiac anaesthesia, cardiology, and cardiac surgery present an interdisciplinary consensus on the anaesthetic management of TAVI patients, recommending that a minimally invasive approach should be favoured in most cases. We critically evaluate the observational data supporting this consensus in comparison with the evidence from the available randomised controlled trials and highlight the need for an individual approach for anaesthetic management best suited to ensure safe and successful TAVI procedures.
Heringlake et al. (Fri,) conducted a editorial in Transcatheter aortic valve implantation (TAVI). Minimally invasive anaesthetic approach (local anaesthesia) vs. General anaesthesia with invasive monitoring was evaluated. A critical evaluation of available evidence highlights the need for an individualized approach to anaesthetic management rather than a universal minimally invasive strategy for TAVI procedures.
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