Sammour Y, Kerrigan J, Banerjee K, et al. - Researchers compared results with general anesthesia (GA) vs monitored anesthesia care (MAC) among consecutive patients who had transfemoral‐transcatheter aortic valve replacement (TAVR) at their institution between January 2012 and April 2017. Shorter procedural time, fluoroscopy time, lower contrast volume, and reduced radiation exposure were noted in relation to MAC. A briefer median intensive care unit stay, and hospital stay, and more frequent discharge to home was evident in patients who received MAC. Lower mortality at 30 days, but not at 1 year or 3 years, was experienced by MAC recipients. Based on these findings, it appeared that a strategy involving MAC use and omission of intraprocedural transesophageal echocardiography during TAVR conferred more efficiency and did not compromise safety. Better TAVR results can be obtained with newer generation valves without requiring GA.