{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T00:29:22Z","timestamp":1788481762270,"version":"build-2803163510"},"reference-count":18,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2013,7,19]],"date-time":"2013-07-19T00:00:00Z","timestamp":1374192000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2013,11]]},"abstract":"<jats:sec><jats:title>Objectives and Background<\/jats:title><jats:p>Transcatheter aortic valve implantation (TAVI) is increasingly performed in high\u2010risk patients with severe aortic valve stenosis. Incidence and impact of emergency cardiac surgery (ECS) during TAVI is unclear.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods and Results<\/jats:title><jats:p>Two\u2010hundred twenty one transapical (TA) and 190 transfemoral (TF) TAVIs were performed at our hospital between 01\/2009 and 12\/2012. Twenty patients (4.9%) required ECS, more frequently in the TF\u2010 (<jats:italic>n<\/jats:italic>\u2009=\u200911; 5.8%) than in the TA\u2010group (<jats:italic>n<\/jats:italic>\u2009=\u20099; 4.1%; <jats:italic>P<\/jats:italic>\u2009=\u20090.017). ECS\u2010cases were evenly distributed throughout the 4 years. Baseline characteristics of the ECS\u2010patients were not different from the non\u2010ECS\u2010patients. Reasons were acute cardiac failure, coronary obstruction, annular rupture, valve migration, right\u2010 and left\u2010ventricular perforation, severe paravalvular leakage, aortic dissection, and mitral valve damage. Surgical intervention consisted of peripheral CPB, switch to TA, thoracotomy and suture of perforated cardiac chambers and conventional aortic valve replacement with concomitant repair of associated cardiovascular injury. Thirty\u2010day mortality was 35.0%, and 55.0% could be salvaged to hospital discharge. Kaplan\u2013Meier 1\u2010year survival curves were significantly impaired for patients requiring ECS (TF: <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.0001, HR 8.716; TA: <jats:italic>P<\/jats:italic>\u2009=\u20090.013, HR 2.813).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Life\u2010threatening complications requiring bail\u2010out ECS occur in a substantial proportion during TAVI. ECS dramatically affects early and late outcome after TAVI. Under optimal conditions more than half of the ECS\u2010patients can be salvaged. With the current technology of THV\u2010systems ECS should be an integral part of the logistic conditions surrounding TAVI and is far from being futile in this patient population. \u00a9 2013 Wiley Periodicals, Inc.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccd.25049","type":"journal-article","created":{"date-parts":[[2013,6,13]],"date-time":"2013-06-13T12:15:06Z","timestamp":1371125706000},"source":"Crossref","is-referenced-by-count":29,"title":["Emergency cardiac surgery during transfemoral and transapical transcatheter aortic valve implantation: Incidence, reasons, management, and outcome of 411 patients from a single center"],"prefix":"10.1002","volume":"82","author":[{"given":"Daniel P.","family":"Griese","sequence":"first","affiliation":[{"name":"Department of Cardiology Cardiovascular Center Bad Neustadt, Bad Neustadt a.d. Saale Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wilko","family":"Reents","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery Cardiovascular Center Bad Neustadt, Bad Neustadt a.d. Saale Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sebastian","family":"Kerber","sequence":"additional","affiliation":[{"name":"Department of Cardiology Cardiovascular Center Bad Neustadt, Bad Neustadt a.d. Saale Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anno","family":"Diegeler","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery Cardiovascular Center Bad Neustadt, Bad Neustadt a.d. Saale Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00f6rg","family":"Babin\u2010Ebell","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery Cardiovascular Center Bad Neustadt, Bad Neustadt a.d. Saale Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,7,19]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1103510"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1114705"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehq339"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.4244\/EIJV4I2A43"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1510\/icvts.2010.253773"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehq427"},{"key":"e_1_2_6_8_1","first-page":"1200","volume-title":"J Am Coll Cardiol","author":"Holmes DR","year":"2012"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehs109"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0032-1323155"},{"key":"e_1_2_6_11_1","first-page":"1105","article-title":"Incidence and treatment of procedural cardiovascular complications associated with trans\u2010arterial and trans\u2010apical interventional aortic valve implantation in 412 consecutive patients","volume":"40","author":"Lange R","year":"2011","journal-title":"Eur J Cardiothorac Surg"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezt032"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.4244\/EIJV8I9A164"},{"key":"e_1_2_6_14_1","first-page":"180","article-title":"Causes of peri\u2010operative mortality after transcatheter aortic valve implantation: a pooled analysis of 12 studies and 1223 patients","volume":"23","author":"Moreno R","year":"2011","journal-title":"J Invasive Cardiol"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(02)01733-3"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.106.632679"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2008.12.025"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehq406"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.4244\/EIJV8I7A121"}],"container-title":["Catheterization and Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fccd.25049","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.25049","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,6]],"date-time":"2023-10-06T13:44:08Z","timestamp":1696599848000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.25049"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,7,19]]},"references-count":18,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2013,11]]}},"alternative-id":["10.1002\/ccd.25049"],"URL":"https:\/\/doi.org\/10.1002\/ccd.25049","archive":["Portico"],"relation":{},"ISSN":["1522-1946","1522-726X"],"issn-type":[{"value":"1522-1946","type":"print"},{"value":"1522-726X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,7,19]]}}}