Non-operating Room Cardiac Procedures in Elderly: Update and Challenges

Purpose of ReviewThis review aims to evaluate the integration of Non-Operating Room Anesthesia (NORA) in most common cardiac procedures among the elderly, focusing on the balance between minimizing invasive techniques and managing the distinct challenges of this demographic. We seek to answer how NORA practices influence outcomes in elderly patients undergoing cardiac interventions and the specific anesthesia considerations pertinent to this age group.Recent FindingsRecent studies have highlighted the significant benefits of minimally invasive procedures like Left Atrial Appendage Occlusion (LAAO) and Transcatheter Aortic Valve Replacement (TAVR) in octogenarians. These studies indicate comparable benefits to younger cohorts, marking a significant step forward in the field. Moreover, advancements in procedural techniques have enabled the use of moderate sedation over general anesthesia, reducing hospitalization time and promoting quicker recovery, which is particularly beneficial for maintaining cognitive and functional independence in the elderly.SummaryThe review finds that the tailored application of NORA practices in cardiac interventions can significantly improve elderly patient outcomes. It reveals a trend toward less invasive procedures that reduce recovery times and preserve quality of life. These findings underscore the necessity of a multidisciplinary approach and continuous innovation in procedural and anesthetic techniques, with implications for future research focused on optimizing patient-specific strategies in the aging population.