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Semin Cardiothorac Vasc Anesth. 2016 Jun;20(2):141-6. doi: 10.1177/1089253215606220. Epub 2015 Sep 24.

The Anesthetic Management of Transcatheter Aortic Valve Implantation.

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Azienda Ospedaliero Universitaria Pisana, Pisa, Italy
Azienda Ospedaliero Universitaria Pisana, Pisa, Italy.


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.


anesthesia; aortic valve stenosis; percutaneous approach; surgery; transcatheter

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