“…Alternatively, MAC with noninvasive ventilation assistance 70 and local anesthetic infiltration provides for a responsive patient, enabling neurologic assessment during the procedure. 28,63,70,[74][75][76] Furthermore, avoidance of anesthetics provides for more stable hemodynamics and potentially shortens hospital stay. 74,77 If TEE guidance is required for the procedure, BGA is a better choice, but echocardiographic imaging can be obtained via TTE or a brief TEE-probe insertion in a sedated patient.…”