Advances in Interventional Cardiology
eISSN: 1897-4295
ISSN: 1734-9338
Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej
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SCImago Journal & Country Rank
1/2026
vol. 22
 
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Original paper

Transcatheter aortic valve implantation in centers without a cardiac surgery department: a meta-analysis of contemporary evidence

Antonio Rocha de Almeida
1
,
Rafael Viana
1
,
Renato Fernandes
1
,
Ângela Bento
1
,
Diogo Brás
1
,
Kisa Congo
1
,
Lino Patrício
1

  1. Hospital Espírito Santo de Évora, Portugal
Adv Interv Cardiol 2026; 22, 1 (83): 58–69
Online publish date: 2026/03/09
Article file
- Transcatheter aortic.pdf  [0.14 MB]
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2. Praz F, Borger MA, Lanz J, et al. 2025 ESC/EACTS Guidelines for the management of valvular heart disease. Eur Heart J 2025; 46: 4635-736.
3. Généreux P, Sharma RP, Cubeddu RJ, et al. The mortality burden of untreated aortic stenosis. J Am Coll Cardiol 2023; 82: 2101-9.
4. Elbaz-Greener G, Masih S, Fang J, et al. Temporal trends and clinical consequences of wait times for transcatheter aortic valve replacement. Circulation 2018; 138: 483-93.
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8. Vahanian A, Beyersdorf F, Praz F, et al. 2021 ESC/EACTS Guidelines for the management of valvular heart disease. Eur Heart J 2022; 43: 561-632.
9. Egger F, Zweiker D, Freynhofer MK, et al. Impact of on-site cardiac surgery on clinical outcomes after transfemoral transcatheter aortic valve replacement. JACC Cardiovasc Interv 2018; 11: 2160-7.
10. Urena M, Vahanian A, Iung B. Transcatheter aortic valve replacement without on-site cardiac surgery. JACC Cardiovasc Interv 2023; 16: 3031-3.
11. Aarts HM, van Nieuwkerk AC, Hemelrijk KI, et al. Surgical bailout in patients undergoing transfemoral transcatheter aortic valve replacement. JACC Cardiovasc Interv 2025; 18: 89-99.
12. Eggebrecht H, Vaquerizo B, Moris C, et al. Incidence and outcomes of emergent cardiac surgery during transfemoral transcatheter aortic valve implantation (TAVI): insights from the European Registry on Emergent Cardiac Surgery during TAVI (EuRECS-TAVI). Eur Heart J 2018; 39: 676-84.
13. Kobo O, Saada M, Roguin A. Can transcatheter aortic valve implantation (TAVI) be performed at institutions without on-site cardiac surgery departments? Cardiovasc Revasc Med 2022; 41: 159-65.
14. Garrido JR, Mazuecos JJ, Sigismondi A, et al. Transfemoral TAVR at hospitals without on-site cardiac surgery department in Spain. JACC Cardiovasc Interv 2019; 12: 896-8.
15. Eggebrecht H, Berstehorn M, Haude M, et al. Outcomes of transfemoral transcatheter aortic valve implantation at hospitals with and without on-site cardiac surgery department: insights from the prospective German aortic valve replacement quality assurance registry (AQUA) in 17 919 patients. Eur Heart J 2016; 37: 2240-8.
16. Egger F, Zweiker D, Freynhofer MK, et al. Impact of on-site cardiac surgery on clinical outcomes after transfemoral transcatheter aortic valve replacement. JACC Cardiovasc Interv 2018; 11: 2160-7.
17. Brooke BS, Schwartz TA, Pawlik TM. MOOSE reporting guidelines for meta-analyses of observational studies. JAMA Surg 2021; 156: 787-8.
18. Sterne JA, Hernán MA, Reeves BC, et al. ROBINS-I: a tool for assessing risk of bias in non-randomised studies of interventions. BMJ 2016; 355: i4919.
19. Bartuś S, Dziewierz A. Transcatheter aortic valve implantation without on-site surgical backup: is it time for Poland to embrace the paradigm shift? Adv Interv Cardiol 2025; 21: 291-4.
20. Giordano A, Corcione N, Barbanti M, et al. Features and outcomes of bailout repeat transcatheter aortic valve implantation (TAVI): the Bailout Acute TAVI-in-TAVI to Lessen Events (BATTLE) international registry. Clin Res Cardiol 2024; 113: 68-74.
Copyright: © 2026 Termedia Sp. z o. o. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License (http://creativecommons.org/licenses/by-nc-sa/4.0/), allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license.

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