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Updated: Nov 4, 2025
06:04
Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation
Published on: August 8, 2025
311
Cardiac surgery following transcatheter aortic valve replacement
Shekhar Saha1, Sven Peterss1, Christoph Mueller1
1Department of Cardiac Surgery, LMU University Hospital, Munich, Germany.
Summary
Secondary cardiac surgery after transcatheter aortic valve replacement (TAVR) is feasible. This study found reasonable outcomes and a low complication rate in patients requiring repeat procedures following TAVR.
Area of Science:
- Cardiovascular Surgery
- Interventional Cardiology
Background:
- Transcatheter aortic valve replacement (TAVR) is a less invasive option for aortic stenosis.
- Some patients may require subsequent conventional cardiac surgery after TAVR.
Purpose of the Study:
- To analyze the surgical outcomes of patients undergoing secondary cardiac surgery after initial TAVR.
- To evaluate the feasibility and complication rates of these procedures.
Main Methods:
- Retrospective analysis of 29 patients who underwent cardiac surgery after TAVR between December 2012 and February 2020.
- Exclusion of 12 patients who had emergency operations due to periprocedural complications.
Main Results:
- The primary indication for secondary surgery was prosthesis endocarditis (15 patients).
- Redo aortic valve replacement was performed in 82.8% of patients.
- Operative mortality was 10.3%, with 13.8% requiring renal replacement therapy and 24.1% needing a pacemaker. One-year survival was 83.0%.
Conclusions:
- Conventional cardiac surgery following TAVR is feasible.
- These procedures demonstrate reasonable outcomes with a low complication rate.
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