To investigate the impact of procedural characteristics, including timing metrics and infrastructure, on mortality in TAVR cases requiring emergent surgical bailout.
Key Findings:
Emergent surgical bailout occurred in 0.53% of TAVR procedures, with 100% mortality in the CCL group and 33.3% in the HOR group (P < 0.01).
Time from complication to surgical incision was significantly longer in the CCL group (110 min) compared to the HOR group (39 min, P = 0.010).
All patients in the HOR group underwent successful surgical intervention, while only 40% in the CCL group reached the OR for surgery.
Interpretation:
The study suggests that procedural timing and infrastructure significantly impact mortality rates in TAVR cases requiring surgical bailout, indicating that hybrid operating rooms may lead to improved patient outcomes.
Limitations:
Small sample size of cases requiring surgical bailout.
Single-centre study may limit generalizability of findings and introduce potential biases.
Conclusion:
The findings highlight the importance of immediate surgical availability in improving outcomes for TAVR patients facing critical complications.
by Tobias Zeus, Ayse S. Ceylan, Kathrin Klein, Christian Jung, Amin Polzin, Bedri Ramadani, Maximilian Scherner, Christina Ballazs, Dmytro Stadnik, Stephan Sixt, Peter Kienbaum, Artur Lichtenberg, Malte Kelm
Phoenix Children’s is now designated a PPHNet Network Site one of only 14 pediatric centers in the US and Canada, recognized for excellence in pediatric pulmonary hypertension care.
