Cardiothoracic & vascular anesthesia

Management of anaesthesia for transfemoral transcatheter aortic valve implantation: an Italian interdisciplinary consensus statement

Br J AnaesthPublished Consensus statement

Methodological detailsinterdisciplinary expert panel, systematic review of the literature, RAND/UCLA Appropriateness Method, three rating rounds
  • Interdisciplinary expert panel
  • Systematic review of the literature
  • RAND/UCLA Appropriateness Method
  • Three rating rounds

Recommendations

As issued by the authors

  1. appropriate

    Minimally invasive approach, local anaesthesia alone and conscious sedation appropriate across most clinical scenarios

  2. Invasive monitoring (additional arterial catheter or central venous catheter) recommended only in selected high-risk patients

  3. inappropriate

    Nurse-administered anaesthesia, pulmonary artery catheterisation and CO monitoring by pulse wave analysis inappropriate across all evaluated scenarios

  4. inappropriate

    GA and deep sedation inappropriate in most cases, uncertain in select clinical contexts

  5. necessary

    Several recommendations rated necessary to define a minimum standard of care

Original publication

Management of anaesthesia for transfemoral transcatheter aortic valve implantation: an Italian interdisciplinary consensus statement. Br J Anaesth. Published 3 January 2026. doi:10.1016/j.bja.2025.10.052

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