Conduction disorders in the setting of transcatheter aortic valve implantation: a clinical perspective

2013 ◽  
Vol 81 (7) ◽  
pp. 1217-1223 ◽  
Author(s):  
Chiara Fraccaro ◽  
Massimo Napodano ◽  
Giuseppe Tarantini
Keyword(s):  
Aortic Valve ◽  
Transcatheter Aortic Valve Implantation ◽  
Clinical Perspective ◽  
Conduction Disorders ◽  
Transcatheter Aortic Valve ◽  
Aortic Valve Implantation ◽  
Valve Implantation

Predictors and Permanency of Cardiac Conduction Disorders and Necessity of Pacing after Transcatheter Aortic Valve Implantation

2014 ◽  
Vol 37 (11) ◽  
pp. 1520-1529 ◽  
Author(s):  
KIRSTEN BOERLAGE-VAN DIJK ◽  
KIRSTEN M. KOOIMAN ◽  
ZE YIE YONG ◽  
ESTHER M.A. WIEGERINCK ◽  
PETER DAMMAN ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Transcatheter Aortic Valve Implantation ◽  
Cardiac Conduction ◽  
Conduction Disorders ◽  
Transcatheter Aortic Valve ◽  
Aortic Valve Implantation ◽  
Valve Implantation

scholarly journals Conduction disorders after transcatheter aortic valve implantation

2018 ◽  
Vol 15 (1) ◽  
pp. 4-11
Author(s):  
D.L. Kranin ◽  
◽  
A.V. Gaydukov ◽  
D.A. Nazarov ◽  
E.P. Dunaev ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Transcatheter Aortic Valve Implantation ◽  
Conduction Disorders ◽  
Transcatheter Aortic Valve ◽  
Aortic Valve Implantation ◽  
Valve Implantation

scholarly journals Incidence of Conduction Disorders and Requirements for Permanent Pacemaker After Transcatheter Aortic Valve Implantation

2019 ◽  
Author(s):  
Marcela Cedenilla dos Santos ◽  
Cristiane da Cruz Lamas ◽  
Fabiula Schwartz de Azevedo ◽  
Alexandre Siciliano Colafranceschi ◽  
Clara Weksler ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Transcatheter Aortic Valve Implantation ◽  
Permanent Pacemaker ◽  
Conduction Disorders ◽  
Transcatheter Aortic Valve ◽  
Aortic Valve Implantation ◽  
Valve Implantation

Low pacemaker incidence with continuous-sutured valves: a retrospective analysis

2017 ◽  
Vol 25 (5) ◽  
pp. 350-356 ◽  
Author(s):  
Lars Niclauss ◽  
Dominique Delay ◽  
Raymond Pfister ◽  
Sebastien Colombier ◽  
Matthias Kirsch ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Transcatheter Aortic Valve Implantation ◽  
Pacemaker Implantation ◽  
Suture Technique ◽  
Permanent Pacemaker ◽  
Permanent Pacemaker Implantation ◽  
Conduction Disorders ◽  
Transcatheter Aortic Valve ◽  
Aortic Valve Implantation ◽  
Valve Implantation

Background Permanent pacemaker implantation after surgical aortic valve replacement depends on patient selection and risk factors for conduction disorders. We aimed to identify risk criteria and obtain a selected group comparable to patients assigned to transcatheter aortic valve implantation. Methods Isolated sutured aortic valve replacements in 994 patients treated from 2007 to 2015 were reviewed. Demographics, hospital stay, preexisting conduction disorders, surgical technique, and etiology in patients with and without permanent pacemaker implantation were compared. Reported outcomes after transcatheter aortic valve implantation were compared with those of a subgroup including only degenerative valve disease and first redo. Results The incidence of permanent pacemaker implantation was 2.9%. Longer hospital stay ( p = 0.01), preexisting rhythm disorders ( p < 0.001), complex prosthetic endocarditis ( p = 0.01), and complex redo ( p < 0.001) were associated with permanent pacemaker implantation. Although prostheses were sutured with continuous monofilament in the majority of cases (86%), interrupted pledgetted sutures were used more often in the pacemaker group ( p = 0.002). In the subgroup analysis, the incidence of permanent pacemaker implantation was 2%; preexisting rhythm disorders and the suture technique were still major risk factors. Conclusion Permanent pacemaker implantation depends on etiology, preexisting rhythm disorders, and suture technique, and the 2% incidence compares favorably with the reported 5- to 10-fold higher incidence after transcatheter aortic valve implantation. Cost analysis should take this into account. Often dismissed as minor complication, permanent pacemaker implantation increases the risks of endocarditis, impaired myocardial recovery, and higher mortality if associated with prosthesis regurgitation.

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