The incidence of surgical bailout during transfemoral transcatheter aortic valve replacement was 0.52% and decreased over time, though patients requiring bailout had a significantly higher 1-year mortality compared to those without (68.3% vs 15.3%, HR 8.60).
Cohort (n=24,010)
Yes
What is the incidence and mortality risk of surgical bailout in patients undergoing transfemoral TAVR?
Surgical bailout during contemporary transfemoral TAVR is rare but associated with high early mortality that stabilizes in postprocedural survivors.
The incidence of surgical bailout is very low in the contemporary TAVR population. Mortality rates remain high among patients requiring surgical bailout during transfemoral TAVR, but this risk diminishes in patients surviving the postprocedural period. (Cerebrovascular Events in Patients Undergoing Transcatheter Aortic Valve Implantation With Balloon-Expandable Valves Versus Self-Expandable Valves 2 CENTER2; NCT03588247).
Aarts et al. (Wed,) conducted a cohort in Severe aortic valve stenosis (n=24,010). Transfemoral transcatheter aortic valve replacement was evaluated on Incidence of surgical bailout. The incidence of surgical bailout during transfemoral transcatheter aortic valve replacement was 0.52% and decreased over time, though patients requiring bailout had a significantly higher 1-year mortality compared to those without (68.3% vs 15.3%, HR 8.60).
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