Cardiothoracic & vascular anesthesia
Management of anaesthesia for transfemoral transcatheter aortic valve implantation: an Italian interdisciplinary 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
- appropriate
Minimally invasive approach, local anaesthesia alone and conscious sedation appropriate across most clinical scenarios
Invasive monitoring (additional arterial catheter or central venous catheter) recommended only in selected high-risk patients
- inappropriate
Nurse-administered anaesthesia, pulmonary artery catheterisation and CO monitoring by pulse wave analysis inappropriate across all evaluated scenarios
- inappropriate
GA and deep sedation inappropriate in most cases, uncertain in select clinical contexts
- 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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