Minimalist transcatheter aortic valve implantation for all? Consensus clinical guidance from Italy

This paper discusses the evolving practice of transcatheter aortic valve implantation (TAVI) in Italy, focusing on the question of whether a minimalist approach to anaesthesia and perioperative care can be safely applied to all patients. The authors present a consensus that supports using local anaesthesia or conscious sedation as the default strategy, emphasizing the need for careful patient selection and individualized care to enhance comfort and outcomes while minimizing invasiveness. They call for further clinical research to better align anaesthetic practices with patient-centered outcomes.