Same or next day discharge: A new chapter in transcatheter aortic valve implantation

As more patients become eligible for transcatheter aortic valve implantation (TAVI), resource allocation and early discharge planning require careful consideration. TAVI centers must develop locally appropriate and systematic strategies to facilitate early discharge and seamless post-discharge care. While ongoing studies examine pacing requirements post-TAVI, trials comparing general anesthesia and monitored analgesia care are desired. Future technologies for co-registration of computed tomography with fluoroscopy may reduce the need for intra-operative transesophageal echo and general anesthesia. A tailored patient-centered approach is essential to optimize in-hospital stay and overall patient experience.