Vascular and cardiac complications during transcatheter aortic valve implantation (TAVI) are are rare but important complications. While cardiothoracic surgical backup is traditionally mandatory, the need for vascular surgical support may be underappreciated. We examined rates of surgical complications requiring bailout during TAVI in a single centre. All patients who underwent TAVI in a single centre were reviewed in a retrospective cohort analysis. Demographic data and outcomes according to the Valve Academic Research Consortium-2 (VARC-2) were collected in addition to specific data regarding vascular and cardiothoracic surgical bailout. From August 2008 - April 2020, 567 patients underwent TAVI in a single centre (mean age 82.4±7.6 years, 42% female, mean body mass index 28.1±12.5 kg/mˆ2). Femoral approach was used in 97% of cases with direct aortic, trans-apical, subclavian, carotid, and transcaval as alternate access methods. CoreValve/Evolut-R/Evolut-Pro, SapienXT/3, Symetis, and Lotus prostheses were implanted. Rates of VARC-2 major and minor vascular complications were 1.1% and 5.4%, respectively, and were similar across time periods. Vascular surgical bailout was required in 2.2% of all patients. In contrast major cardiac complications requiring consideration of urgent cardiac surgery which included tamponade, aortic dissection, and valve dislocation/embolisation was 0.7% in total, but 1.9% prior to 2016 and 0.3% from 2016-2020. The requirement for any form of surgical bailout was reassuringly low. Vascular surgical bailout was three times more common than cardiothoracic surgical bailout. Our results suggest routine inclusion of vascular surgeons in the heart team may be justified.