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Impact of On-site Cardiac Surgery on Clinical Outcomes After Transfemoral TAVR

from TCTMD

Patients undergoing transfemoral transcatheter aortic valve replacement at hospitals without surgical backup fared just as well in the short- and long-term as patients treated at hospitals with on-site surgical services, according to the results of a new European study. Although patients undergoing TAVR at hospitals without on-site surgery were at significantly higher risk than those treated at centers with surgery, investigators report no differences in procedural, 30-day and one-year survival rates in the propensity-matched analysis. In the United States, an expert consensus statement from several societies, including the American Association for Thoracic Surgery, American College of Cardiology Foundation, Society for Cardiovascular Angiography and Interventions and Society of Thoracic Surgeons, recommends the participation of a multidisciplinary heart team involving surgeon review as part of the TAVR program. more

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