Catheterisation laboratory layout and hospital stay for TAVI
Control group (initial setup) | Procedural-refinement group | |
Anaesthesia | General anaesthesia | Conscious sedation |
Valve implanted | SAPIEN XT and S3 | SAPIEN 3 |
Femoral access and closure | Surgical cut-down | Predominantly percutaneous access and closure using ProGlide |
Periprocedural echocardiography | TEE and radiological guidance to facilitate precise valve positioning | Radiologically guided valve positioning; post TAVI TTE |
Scrub nurse support | 1 catheter laboratory staff nurse +1 cardiothoracic staff nurse | 1 catheter laboratory staff nurse |
Postprocedure care | Level 3 care on ICU | Mostly cardiology ward/CCU |
Length of hospital stay | Minimum 72 hours | 24–72 hours |
CCU, coronary care unit; ICU, intensive care unit; TAVI, transcatheter aortic valve implantation; TEE, transoesophageal echocardiogram; TTE, transthoracic echocardiography.