Review Article

Optimizing Anesthetic Selection in Transcatheter Aortic Valve Replacement: Striking a Delicate Balance between Efficacy and Minimal Intervention

Table 2

Overview of the reviewed studies comparing the pharmacologic choices for conscious sedation.

AuthorsYearLocationPurposeType of sourceSummary points

Kronfli et al. [32]2021USAComparing dexmedetomidine and propofol in TAVR proceduresRetrospective cohort study(i) There was no significant differences in in-hospital outcomes, 30-day outcomes, or total cost of the patient’s hospitalization between the groups

Zhao et al. [33]2022USAComparing ketamine and nonketamine drugs in TAVR proceduresRetrospective cohort study(i) Ketamine had statistically lower 30-day mortality and lower intraoperative cardiac arrest
(ii) There was no statistical difference in postoperative stroke, intraoperative conversion to general anesthesia, postoperative delirium, need for permanent pacemaker implantation, perivalvular leak, and length of stay between the groups