{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,16]],"date-time":"2026-08-16T21:17:21Z","timestamp":1786915041848,"version":"build-2736575974"},"reference-count":57,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2025,6,2]],"date-time":"2025-06-02T00:00:00Z","timestamp":1748822400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["associationofanaesthetists-publications.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Anaesthesia"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>Summary<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>There have been few other areas of medical practice in the last two decades that have evolved at the same pace as transcatheter heart valve interventions. As well as providing peri\u2010operative care, anaesthetists are core members of \u2018Heart Teams\u2019, who plan the care of and manage patients with valvular heart disease. This review aims to summarise core information on these procedures for anaesthetists.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted a literature review to identify highly cited or high Altmetric scoring articles published in the last five years on the peri\u2010operative management of patients undergoing transcatheter aortic, mitral, pulmonary and tricuspid valve interventions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There was little contemporary published evidence comparing or recommending anaesthetic techniques and describing their effect on peri\u2010operative outcomes. Instead, there is a wealth of evidence on outcomes in specific patient risk groups undergoing transcatheter procedures. However, these trials focussed mainly on mortality and complications, received substantial industry funding and pooled adverse outcomes as a composite using frequentist non\u2010inferiority methods. Most real\u2010world patients would likely be excluded from these trials and clinicians therefore should apply evidence, expertise and local experience to make risk\/benefit judgements for individual patients referred to the Heart Team. Knowledge of the issues around diagnosis, patient selection, procedural steps and device design characteristics are arguably of more importance to the anaesthetist than the specifics of techniques for local anaesthesia infiltration, conscious sedation and general anaesthesia, which are transferrable skills for all adult anaesthetists.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>There is a need for new peri\u2010operative research with a focus on patient\u2010centred metrics, rather than complication composites and mortality outcomes. Clinically, there is increasing focus on patient\u2010centred treatment, timing of interventions and a team\u2010based approach with greater emphasis placed on comorbidities and their aggressive management.<\/jats:p><\/jats:sec>","DOI":"10.1111\/anae.16635","type":"journal-article","created":{"date-parts":[[2025,6,3]],"date-time":"2025-06-03T01:58:47Z","timestamp":1748915927000},"page":"1254-1268","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Anaesthesia support for transcatheter heart valve interventions: a narrative review"],"prefix":"10.1111","volume":"80","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7389-4955","authenticated-orcid":false,"given":"Mike","family":"Charlesworth","sequence":"first","affiliation":[{"name":"Department of Cardiothoracic Anaesthesia, Critical Care and ECMO Wythenshawe Hospital  Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tim","family":"Hayes","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Anaesthesia, Critical Care and ECMO Wythenshawe Hospital  Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mamta H.","family":"Buch","sequence":"additional","affiliation":[{"name":"Department of Interventional Cardiology Wythenshawe Hospital  Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eryl A.","family":"Davies","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Anaesthesia, Critical Care and ECMO Wythenshawe Hospital  Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,6,2]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/clc.22632"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehz275"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm12041342"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/openhrt\u20102017\u2010000695"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehv756"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehab395"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000932"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1008232"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1103510"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1814052"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1816885"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/anae.14401"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/anae.13590"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa2400685"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2023.03.015"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2023.01.376"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(23)02806\u20104"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2020.03.022"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.4244\/EIJ\u2010D\u201021\u201000157"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsa1901109"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1136\/openhrt\u20102020\u2010001547"},{"key":"e_1_2_6_23_1","unstructured":"Getting It Right First Time. 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