Pacemaker Therapy After Tricuspid Valve Operations: Implications on Mortality, Morbidity, and Quality of Life

Jokinen, Jukka; Turpeinen, Anu; Pitkänen, Otto; Hippeläinen, Mikko; Hartikainen, Juha

doi:10.1016/j.athoracsur.2009.03.048

Cited by 83 publications

(66 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The frequency of postoperative morbidities, the protracted hospital length of stay, and the substantial cost of TV surgery were also absorbing: (1) We noted high rates of postoperative permanent pacemaker implantation (34.1% after isolated TVR and 10.9% after isolated TVr), much higher than what has been reported after other valve surgical procedures 34, 35, 36. These findings, nevertheless, are in line with prior single‐center reports showing pacemaker rates of 13% to 28% after TV surgery and higher odds of needing a pacemaker after TVR versus TVr 37, 38. Several anatomical and technical factors have been implicated in these high rates of pacemaker dependency after TV surgery, including intraoperative hypothermia, cardiopulmonary bypass duration, and the proximity of the atrioventricular node and the atrioventricular nodal artery to the tricuspid annulus 39, 40.…”

Section: Discussionsupporting

confidence: 86%

Contemporary Trends in the Use and Outcomes of Surgical Treatment of Tricuspid Regurgitation

Alqahtani

Berzingi

Aljohani

et al. 2017

JAHA

168

View full text Add to dashboard Cite

BackgroundTricuspid regurgitation (TR), if untreated, is associated with an adverse impact on long‐term outcomes. In recent years, there has been an increasing enthusiasm about surgical and transcatheter treatment of patients with severe TR. We aim to evaluate the contemporary trends in the use and outcomes of tricuspid valve (TV) surgery for TR using the National Inpatient Sample.Methods and ResultsBetween January 1, 2003 and December 31, 2014, an estimated 45 477 patients underwent TV surgery for TR in the United States, of whom 15% had isolated TV surgery and 85% had TV surgery concomitant with other cardiac surgery. There was a temporal upward trend to treat sicker patients during the study period. Patients who underwent isolated TV repair or replacement had a distinctly different clinical risk profile than those patients who underwent TV surgery simultaneous with other surgery. Isolated TV replacement was associated with high in‐hospital mortality (10.9%) and high rates of permanent pacemaker implantation (34.1%) and acute kidney injury requiring dialysis (5.5%). Similarly, isolated TV repair was also associated with high in‐hospital mortality (8.1%) and significant rates of permanent pacemaker implantation (10.9%) and new dialysis (4.4%). Isolated TV repair and TV replacement were both associated with protracted hospitalizations and substantial cost.ConclusionsIn contemporary practice, surgical treatment of TR remains underused and is associated with high operative morbidity and mortality, prolonged hospitalizations, and considerable cost.

show abstract

Section: Discussionsupporting

confidence: 86%

Contemporary Trends in the Use and Outcomes of Surgical Treatment of Tricuspid Regurgitation

Alqahtani

Berzingi

Aljohani

et al. 2017

JAHA

168

View full text Add to dashboard Cite

show abstract

“…The arguments against systematic repair of moderate STR are that it may resolve after correction of LHD, prolonged duration of cardiopulmonary bypass and crossclamp time, and that annuloplasty may introduce incremental risks such as AV block (44,45). Pulmonary hypertension.…”

Section: Surgical Management Of Secondary Tricuspid Regurgitationmentioning

confidence: 99%

The Growing Clinical Importance of Secondary Tricuspid Regurgitation

Taramasso

Vanermen

Maisano

et al. 2012

Journal of the American College of Cardiology

248

120

View full text Add to dashboard Cite

Functional or secondary tricuspid regurgitation (STR) is the most frequent etiology of tricuspid valve pathology in Western countries. Surgical tricuspid repair has been avoided for years, because of the misconception that tricuspid regurgitation should disappear once the primary left-sided problem is treated; this results in a large number of untreated patients with STR. Over the past few years, many investigators have reported evidence in favor of a more aggressive surgical approach to STR. Consequently, interest has been growing in the physiopathology and treatment of STR. The purpose of this review is to explore the anatomical basis, pathophysiology, therapeutic approach, and future perspectives with regard to the management of STR.

show abstract

“…In our series, the rate of pacemaker implantation was 3% (much lower than other TV operation studies [31,32]) and permanent pacemaker implantation was found to be an independent risk factor of recurrent TR during follow-up. One study showed that the survival of patients who needed a pacemaker after a TV operation was outstandingly higher than of those who did not [31]. More data about the general results and the need for a pacemaker after the TV operations are essential for further development of useful methods.…”

Section: Tablementioning

confidence: 92%

“…The incidence of a post-operative pacemaker implantation was reported from 3% to 6% after valve interventions [9]. A few studies have found that the need of pacemakers after a TV operation is higher than after other valve interventions [2,7,31]; however, the need and clinical ⁎ TR = tricuspid regurgitation; RR = risk ratio; NYHA = New York Heart Association; LVEF = left ventricular ejection fraction; mPAP = mean pulmonary arterial pressure; mRVSP = mean right ventricular systolic pressure.…”

Section: Tablementioning

confidence: 99%

Efficiency of different annuloplasty in treating functional tricuspid regurgitation and risk factors for recurrence

Lin

Wang

Chen

et al. 2013

Journal of the American College of Surgeons

View full text Add to dashboard Cite

Pacemaker Therapy After Tricuspid Valve Operations: Implications on Mortality, Morbidity, and Quality of Life

Cited by 83 publications

References 20 publications

Contemporary Trends in the Use and Outcomes of Surgical Treatment of Tricuspid Regurgitation

Contemporary Trends in the Use and Outcomes of Surgical Treatment of Tricuspid Regurgitation

The Growing Clinical Importance of Secondary Tricuspid Regurgitation

Efficiency of different annuloplasty in treating functional tricuspid regurgitation and risk factors for recurrence

Contact Info

Product

Resources

About