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Pro: General Anesthesia Should Be Used for Transcatheter Aortic Valve Replacement

Published:January 05, 2023DOI:https://doi.org/10.1053/j.jvca.2022.12.037
      TRANSCATHETER AORTIC VALVE REPLACEMENT (TAVR) is an effective alternative to surgery for many patients with severe symptomatic aortic stenosis.
      • Mack MJ
      • Leon VH
      • Thourani RM
      • et al.
      Transcatheter aortic-valve replacement with a balloon-expandable valve in low-risk patients.
      As devices and techniques for valve deployment evolve, so makes the anesthetic choice. Most patients undergoing TAVR receive sedation, though nearly a fifth of all TAVR centers in the United States exclusively use general anesthesia (GA).
      • Butala N
      • Chung M
      • Secemsky E
      • et al.
      Conscious sedation versus general anesthesia for transcatheter aortic valve replacement.
      Despite the trend toward sedation, the best type of anesthesia for TAVR has yet to be determined.
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