Time to surgical bailout and mortality in complicated transcatheter aortic valve replacement

Surgical bailout during TAVR is rare, but associated mortality remains high. Bailout performed in a HOR was associated with shorter delays to surgical incision and improved outcomes, with haemodynamic stability at the time of conversion emerging as an important factor associated with survival. These findings highlight the potential relevance of minimising time to surgery through optimised infrastructure, such as a HOR.

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Publication Details

Journal
Clinical Research in Cardiology
Published
2026-03-12
DOI
https://doi.org/10.1007/s00392-026-02851-4
Primary Topic
Cardiac Valve Diseases and Treatments
Type
article
Field-Weighted Citation Impact
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article

Time to surgical bailout and mortality in complicated transcatheter aortic valve replacement

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Time to surgical bailout and mortality in complicated transcatheter aortic valve replacement

Peter Kienbaum, Dmytro Stadnik, B. Ramadani, Kathrin Klein, Amin Polzin, Stephan Urs Sixt, Ayse S. Ceylan, Christina Ballazs, Artur Lichtenberg, Maximilian Scherner, Malte Kelm, Christian Jung, Tobias Zeus
article en

Abstract

Surgical bailout during TAVR is rare, but associated mortality remains high. Bailout performed in a HOR was associated with shorter delays to surgical incision and improved outcomes, with haemodynamic stability at the time of conversion emerging as an important factor associated with survival. These findings highlight the potential relevance of minimising time to surgery through optimised infrastructure, such as a HOR.

Clinical Research in Cardiology
Düsseldorf University Hospital (DE), Heinrich Heine University Düsseldorf (DE)
Industry, innovation and infrastructure
Openalex Percentile: Top 32%
Cardiac Valve Diseases and Treatments
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