Transcatheter Aortic Valve Implantation: Comparison of the Effects of Ultrasound-Guided Pericapsular Nerve Group Block and Fascia Iliaca Block on Postoperative Analgesia Management
Recruiting now · Not applicable
Conditions studied: Aortic Valve Stenosis, Transcatheter Aortic Valve Implantation, Pericapsular Nerve Group Block, Fascia Iliaca Block
In brief
Aortic Stenosis (AS) is the most common valvular pathology, particularly prevalent in advanced age, and Transcatheter Aortic Valve Implantation (TAVI) has become a crucial treatment option for high-risk patients who are not suitable for surgery. This minimally invasive approach has demonstrated successful clinical outcomes in patients deemed ineligible for surgical procedures. Patient selection criteria and advancements in operative techniques are critical for achieving successful TAVI outcomes. While the transfemoral approach is the most commonly used method, alternative techniques such as transapical, transaxillary, transcarotid, and transaortic approaches are also available. The Pericapsular Nerve Group Block (PENG) targets the femoral and accessory obturator nerves, providing analgesia to the anterior hip without causing motor block. The Fascia Iliaca Block (FIB), on the other hand, provides broader analgesic coverage by affecting the lateral femoral cutaneous, obturator, and femoral nerves. This study aims to compare PENG block, FIB, and local infiltration anesthesia in TAVI patients regarding sedation requirements during the procedure and postoperative analgesia management. Additionally, pain scores, motor block presence, opioid consumption, and side effects will be assessed. The study seeks to identify optimal strategies to enhance patient comfort and safety during TAVI procedures.
Key facts
- Study ID
- NCT06773780
- Run by
- Medipol University
- People needed
- 60
- Starts
- 2025-01-10
- Expected to finish
- 2026-12-01
- Last updated by the study team
- 2026-07-27
Who can join
Age: 18 and older, up to 85. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- Patients scheduled for TAVİ
- aged between 18 and 85 years,
- American Society of Anesthesiology (ASA) physical status II-IV
You may not qualify if…
- History of bleeding diathesis.
- Use of anticoagulant therapy.
- History of chronic pain prior to surgery.
- Multiple trauma.
- Conditions where pain assessment cannot be performed (e.g., dementia).
- Patients operated under spinal or epidural anesthesia.
- Presence of infection in the region where the block will be applied.
- Refusal to consent to the procedure
Where it is running
- Medipol University — Istanbul, Turkey (Türkiye) (enrolling)
Full record on ClinicalTrials.gov
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