Key result
Serious TAVI complications requiring emergency surgery drop to 2.0%, though absolute numbers remain challenging.
Why the study?
Despite decreasing complication rates, the total number of serious adverse events during TAVI requiring conversion to sternotomy remains substantial, necessitating heart team preparedness for rescue strategies.
What is the rate of serious intraprocedural complications requiring emergent cardiac surgery during TAVI?
Population
Patients undergoing Transcatheter aortic valve implantation for symptomatic aortic valve stenosis in Germany
Design
Review
Follow-up
intraprocedural
Authors
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Declining TAVI complication rates support maintained heart-team preparedness; Level 5 data leave optimal rescue strategies unresolved.
What is the rate of serious intraprocedural complications requiring emergent cardiac surgery during TAVI?
While the rate of serious intraprocedural TAVI complications requiring emergent cardiac surgery has decreased to 2.0%, the absolute number remains significant, highlighting the need for heart teams to be prepared with rescue strategies.
Conzelmann et al. (2022) conducted a review in Symptomatic aortic valve stenosis. Transcatheter aortic valve implantation (TAVI) was evaluated on Serious intraprocedural complications requiring emergency cardiac surgery. Serious intraprocedural TAVI complications requiring emergency cardiac surgery in Germany decreased from >5.5% in 2012 to 2.0% in 2019, though absolute numbers remain challenging.
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