Cardiothoracic & vascular anesthesia
Regional Anesthesia Approaches for Transcatheter Aortic Valve Implantation: When and Where Does It Add Value? A Narrative Review of Techniques by Access Route
Authors' conclusion
RA should be used selectively when it enhances analgesia, reduces sedative requirements, or confers physiological advantages, particularly for non-TF access.
Study context
- Population
- Patients undergoing transcatheter aortic valve implantation (TAVI) by transfemoral or non-transfemoral access
- Comparison
- Regional anesthesia (RA) vs LI-MAC for TAVI, by access route
Methodological detailsPubMed (MEDLINE), Embase, Cochrane Library searched through September 2025
- PubMed (MEDLINE), Embase, Cochrane Library searched through September 2025
Main finding
As reported in the abstract
- Transfemoral (TF) TAVI: LI-MAC is the default; RA not shown to improve major clinical outcomes
- TF TAVI: ilioinguinal-iliohypogastric block reduces sedative and analgesic requirements; fascia iliaca block may reduce opioid requirements in selected settings
- Non-TF access (subclavian/axillary, carotid): RA may preserve spontaneous ventilation, stabilize hemodynamics, enable continuous neurologic monitoring
- Transapical/transaortic: thoracic epidural analgesia has strong observational support for improved pulmonary and clinical outcomes; paravertebral and plane blocks as neuraxial-sparing alternatives
Original publication
Regional Anesthesia Approaches for Transcatheter Aortic Valve Implantation: When and Where Does It Add Value? A Narrative Review of Techniques by Access Route. J Cardiothorac Vasc Anesth. Published 20 May 2026. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →