{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T22:43:04Z","timestamp":1790289784963,"version":"4.1.0"},"reference-count":19,"publisher":"Springer Science and Business Media LLC","issue":"12","license":[{"start":{"date-parts":[[2023,11,2]],"date-time":"2023-11-02T00:00:00Z","timestamp":1698883200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,11,2]],"date-time":"2023-11-02T00:00:00Z","timestamp":1698883200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Neth Heart J"],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>\n                           <jats:italic>Objective<\/jats:italic>\n                        <\/jats:title>\n                <jats:p>The aim of this study was to evaluate the reasons for emergent cardiac surgery (ECS) after transcatheter aortic valve implantation (TAVI) and assess outcomes of these patients.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>\n                           <jats:italic>Methods<\/jats:italic>\n                        <\/jats:title>\n                <jats:p>All patients undergoing ECS following a\u00a0complicated TAVI procedure at a\u00a0high-volume TAVI centre in the Netherlands from 1\u00a0January 2008 to 1\u00a0April 2022 were included. Baseline and procedural characteristics and outcome data (procedural, 30-day and 1\u2011year mortality, in-hospital stroke, 30-day pacemaker implantation, 30-day vascular complications, 30-day deep sternal wound infections and 30-day re-exploration) were collected from patient files and analysed using descriptive statistics.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>During the study period, 16\u00a0of 1594 patients (1.0%) undergoing TAVI required ECS. The main reason for ECS was valve embolisation (<jats:italic>n<\/jats:italic>\u202f=\u20099; 56.3%), followed by perforation of the left\/right ventricle with guide wire\/pacemaker lead (<jats:italic>n<\/jats:italic>\u202f=\u20093; 18.8%) and annular rupture (<jats:italic>n<\/jats:italic>\u202f=\u20093; 18.8%). Procedural, 30-day and 1\u2011year mortality was 0%, 18.8% (<jats:italic>n<\/jats:italic>\u202f=\u20093) and 31.3% (<jats:italic>n<\/jats:italic>\u202f=\u20095), respectively. In-hospital stroke occurred in 1\u00a0patient (6.3%), a\u00a0pacemaker was implanted at 30\u00a0days in 2\u00a0patients (12.5%), and major vascular complications did not occur.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>\n                           <jats:italic>Conclusion<\/jats:italic>\n                        <\/jats:title>\n                <jats:p>ECS following complicated TAVI was performed in only a\u00a0small number of cases. It had a\u00a0high but acceptable perioperative and 30-day mortality, taking into account the otherwise lethal consequences. In case of valve embolisation, no periprocedural or 30-day mortality was observed for surgical aortic valve replacement (even in a\u00a0redo setting), which supported the necessity to perform TAVI in centres with cardiac surgical backup on site.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s12471-023-01820-0","type":"journal-article","created":{"date-parts":[[2023,11,2]],"date-time":"2023-11-02T13:02:13Z","timestamp":1698930133000},"page":"479-488","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Outcomes of emergent cardiac surgery after transcatheter aortic valve implantation"],"prefix":"10.1007","volume":"31","author":[{"given":"Gijs J.","family":"van Steenbergen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jules R.","family":"Olsthoorn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rob","family":"Eerdekens","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erwin","family":"Tan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pim A. 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