Issam D. Moussa

Key Points Surgical bailout after transcatheter aortic valve replacement (TAVR) has diminished overtime to less than 1%; however, it is still associated with very high mortality rate even at very high volume hospitals. The frequency of surgical bailout after TAVR is related to annual hospital procedural volume. An annual hospital volume >200 procedures is associated with <0.5% incidence of surgical bailout. These findings ought to trigger a discussion regarding the necessity for surgical standby for TAVR procedures at high volume hospitals.