Heart Team, comprising cardiac surgeons, interventional cardiologists, anesthetists, and imaging specialists, discussed the clinical case and, after thorough discussion, collectively decided to proceed with transfemoral TAVI, considering the patient's high surgical risk (STS-PROM/EuroSCORE II: >8%). Other potential approach such as transapical, transaortic, transcarotid or transsubclavian approach for TAVI were ruled out to avoid sedation. TAVI procedure was planned to take place following