Cardiothoracic & vascular anaesthesia

Long-Term Survival of Patients Undergoing Transcatheter Aortic Valve Implantation Under General Anesthesia Versus Monitored Anesthesia Care

J Cardiothorac Vasc AnesthPublished Retrospective cohort study

Main finding · Long-term survival (Kaplan-Meier)Result — go to the resultHazard ratio 0.94 95% CI 0.74–1.18

Authors' conclusion

Anesthetic management with GA or MAC did not affect the long-term survival of patients after TAVI.

Study context

Population
Patients with severe aortic valve stenosis undergoing transfemoral transcatheter aortic valve implantation (TAVI), 2015–2024
Participants
1,390 patients
Exposure
General anesthesia (GA) vs monitored anesthesia care (MAC) for transfemoral TAVI
  • GAn = 508
  • MACn = 882reference
Outcome
Long-term survival (Kaplan-Meier)
Follow-up
1, 3, 5, and 7 years
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Hazard ratio

0.94

95% CI 0.74–1.18

P = 0.58

By group

GA

91.1%, 75.6%, 59.8%, and 40%

MAC

93.2%, 75.5%, 63.2%, and 46.9%

GA vs MAC
HR 0.94 (95% CI 0.74–1.18); P = 0.58

Observational data: associations, not effects.

Further findings

30-day mortality

P = 0.08

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Long-Term Survival of Patients Undergoing Transcatheter Aortic Valve Implantation Under General Anesthesia Versus Monitored Anesthesia Care. J Cardiothorac Vasc Anesth. Published 30 August 2026. doi:10.1053/j.jvca.2026.08.158

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