Aortic Valve (TAVR/TAVI)JACC:CITuesday, July 14, 2026

Percutaneous "Double-Seal" Strategy With Occluder Plus TAV-in-TAV for Post-TAVR Aortic Root-to-Right Ventricle Fistula.

1 min read·By E. Nolan Beckett, MD·Source: JACC. Cardiovascular interventions

From The Valve Wire

The volume-outcome debate in TAVR just shifted from "get more reps" to "prevent the complication in the first place." The STS/ACC TVT Registry analysis of 487,159 patients across 808 US sites (2017–2023) found bottom-quartile centers had 12% higher 30-day mortality (aOR 1.12) and 19% higher major complication rates than top-quartile centers, but failure-to-rescue was flat at ~11% across all volume strata.

The editorial companion framed this as "complications, not rescue" — meaning the CMS volume threshold debate should focus on procedural technique, patient selection, and CT planning, not ICU heroics after things go wrong.

Editor’s take pending for this article; this is the section commentary excerpt.

Source Abstract

No abstract available.

Authors: Masumoto A, Iwata J, Arow Z, Dumonteil N, Tchétché D

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Full article at JACC. Cardiovascular interventions

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The Valve Wire summarizes; we link out to primary sources for verification.