Early Conduction Disorders Following Percutaneous Aortic Valve Replacement

Calvi, Valéria; Puzzangara, Euglena; Pruiti, Giusi Paola; Conti, Sergio; Grazia, Angelo Di; Ussia, Gian Paolo; Capodanno, Davide; Tamburino, Corrado

doi:10.1111/j.1540-8159.2008.02298.x

Cited by 67 publications

(66 citation statements)

References 17 publications

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“…The evolution of conduction disorders took place over a period of 7 days after implantation. In our series, complete atrioventricular block was seen in 13.3%, while 8.9% suffered from type II second-degree atrioventricular block; thus, 22.2% of the patients developed an indication for permanent pacemaker implantation corroborating previous findings (27)(28)(29)(35)(36)(37)(38)(39). Their intracardiac measurements revealed that the occurrence of first-degree atrioventricular block was predominantly due to the prolongation of HV interval, which might be prognostically relevant (40).…”

Section: Conduction Disorderssupporting

confidence: 89%

“…Among the electrocardiographic (ECG) criteria, right bundle branch block is the strongest predictor for pacemaker requirement (24,25). To date, some investigations have reported descriptive changes in the surface ECG after TAVI (15,(26)(27)(28)(29)(30)(31). In the published trials, the incidence of permanent pacemaker implantation after TAVI with the CoreValve system has been reported to be 20% to 42.5%, and that of a new left bundle branch block has been reported to range between 50% and 70% (5,(26)(27)(28)(29)(30)(31).…”

Section: Conduction Disordersmentioning

confidence: 99%

“…To date, some investigations have reported descriptive changes in the surface ECG after TAVI (15,(26)(27)(28)(29)(30)(31). In the published trials, the incidence of permanent pacemaker implantation after TAVI with the CoreValve system has been reported to be 20% to 42.5%, and that of a new left bundle branch block has been reported to range between 50% and 70% (5,(26)(27)(28)(29)(30)(31). Nevertheless, with the balloon-expandable shorter Edwards SAPIEN prosthesis, which is placed in the aortic annulus without direct impact on the left ventricular outflow tract, the incidence of atrioventricular conduction block requiring pacemaker has been reported between 0% and 6% and the incidence of new-onset left bundle branch block has been reported to have a rate of 3.3% (32,33).…”

Section: Conduction Disordersmentioning

confidence: 99%

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ECG Abnormalities after Transcatheter Aortic Valve Implantation

Akın¹,

Nienaber²

2014

Arch Cardiovasc Imaging

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Transcatheteraortic valve implantation, first introduced in 2002, has been established as an alternative modality for patients deemed not suitable for open-heart surgery. The anatomical vicinity of the atrioventricular node and the His bundle to the non-coronary and rightcoronary aortic cusps predisposes patients to conduction abnormalities in case of severe calcification or mechanical trauma during valve implantation. However, the two evaluated valves (CoreValve and Edwards SAPIEN valve) have different rates of these complications, mainly driven by their respective geometry. Currently, there is ongoing evaluation of the true rate of conduction disorders and their clinical relevance or durability. The initial experience of fatal outcomes with conduction disorders such as complete atrioventricular block has increased the rate of subsequent pacemaker implantation up to 50%. However, prophylactic pacemaker implantation is associated with several possible complications. Thus, there is a need for further data from large-scale series taking into account the true rate of clinically relevant conduction disorders.Keywords:Heart Valve Prosthesis Implantation; Atrioventricular Block; Bundle-Branch Block; Pacemaker; Artificial; Bundle of His Implication for health policy/practice/research/medical education: The transcatheter aortic valve implantation is an established tool for the treatment of multimorbid patients suffering from severe symptomatic aortic valve stenosis. However, it is much more associated with with pacemaker dependence as compared to classic open aortic valve surgery. Within this review we try to explain the differences between the interventional procedure and the open surgical procedure as well as the difference between different vlave types.

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Section: Conduction Disorderssupporting

confidence: 89%

Section: Conduction Disordersmentioning

confidence: 99%

Section: Conduction Disordersmentioning

confidence: 99%

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ECG Abnormalities after Transcatheter Aortic Valve Implantation

Akın¹,

Nienaber²

2014

Arch Cardiovasc Imaging

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“…1,2 Following TAVI, electrical conduction abnormalities are known to occur, [3][4][5][6][7][8][9][10][11][12][13][14][15][16] leading to the placement of a permanent pacemaker (PM) in 5-46% of cases [17][18][19][20][21] .…”

Section: Introductionmentioning

confidence: 99%

“…[3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21] In this study, patients undergoing TAVI suffered a significant increase in atrio-ventricular (PQ interval) and intra-ventricular (QRS width) conduction times. Patients who were implanted with a CV prosthesis have the highest incidence of first-degree AVB and LBBB.…”

mentioning

confidence: 99%