Influence of Failure to Rescue on Mortality After Transcatheter Aortic Valve Replacement.
Publication/Presentation Date
9-1-2025
Abstract
BACKGROUND: Mortality after transcatheter aortic valve replacement (TAVR) varies among centers. "Failure to rescue" (FTR) patients from post-TAVR complications may represent an unexplored opportunity for TAVR process improvement.
METHODS: The Society of Thoracic Surgeons/American College of Cardiology Transcatheter Valve Therapy registry was queried for patients undergoing transfemoral TAVR between 2011 and 2016. Hospital FTR rate was derived from the ratio of observed-to-expected procedural mortality. Multivariable logistic regression models assessed the association between FTR and hospital mortality. Adjusted FTR rates were compared across tertiles of hospital mortality.
RESULTS: The analysis included 61,804 patients (429 sites). Post-TAVR mortality at low-, middle-, and high-mortality hospitals was 1.8%, 3.3%, and 5.6% (
CONCLUSIONS: National TAVR mortality rates vary significantly across centers, despite comparable rates of postoperative complications. Patients at medium- and high-mortality centers face a disproportionately higher risk of death due to FTR. These findings highlight the need for a closer evaluation of post-TAVR care processes to address this disparity.
Volume
3
Issue
3
First Page
617
Last Page
623
ISSN
2772-9931
Published In/Presented At
Bishawi, M., Jensen, C., Vekstein, A., Kosinski, A. S., Grover, F. L., Harrison, J. K., Thourani, V. H., Kirtane, A. J., Bavaria, J. E., Vemulapalli, S., & Hughes, G. C. (2025). Influence of Failure to Rescue on Mortality After Transcatheter Aortic Valve Replacement. Annals of thoracic surgery short reports, 3(3), 617–623. https://doi.org/10.1016/j.atssr.2025.03.011
Disciplines
Medicine and Health Sciences
PubMedID
41163865
Department(s)
Department of Surgery
Document Type
Article