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September 2014 Br J Cardiol 2014;21:113–14 doi:10.5837/bjc.2014.027

Provision of cardiopulmonary bypass and surgical backup during TAVI: impact on surgical services

Jon R Spiro, Vinod Venugopal, Peter F Ludman, John N Townend, Sagar N Doshi; on behalf of the UK TAVI Steering Group

Abstract

Introduction The provision of cardiopulmonary bypass (CPB) equipment and cardiothoracic (CT) surgical back-up during transcatheter aortic valve implantation (TAVI) has major implications for surgical services. Consensus statements from the Society of Cardiothoracic Surgery (SCTS) and the British Cardiovascular Intervention Society (BCIS) recommend that centres performing TAVI should have “immediate availability of perfusion services in case of the need for emergency bypass”, and that this, together with other criteria, mean that TAVI should only be performed in units currently performing surgical aortic valve replacement. There has, howev

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