Post-TAVI Patient for Pacemaker Insertion

You are assessing an 80-year-old man in the coronary care unit just prior to a planned permanent pacemaker insertion for persistent bradyarrhythmias. The cardiologist has requested anaesthesia assistance as the patient has been having difficulty lying flat due to back pain. He had an elective proximal right coronary artery stent seven days ago, and a TAVI performed under general anaesthesia five days ago, for treatment of his coronary artery disease and severe aortic stenosis.