Permanent pacing after transcatheter aortic valve implantation of a CoreValve prosthesis as determined by electrocardiographic and electrophysiological predictors: a single-centre experience

Κωστοπούλου, Άννα; Karyofillis, Panagiotis; Livanis, Efthimios; Thomopoulou, Sofia; Stefopoulos, Christos; Doudoumis, Konstantinos; Theodorakis, G.; Voudris, Vasilios

doi:10.1093/europace/euv137

Cited by 41 publications

(37 citation statements)

References 20 publications

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“…El motivo del implante fue BAV completo intraprocedimiento en 5 pacientes, y BCRI con BAV de primer grado con HV prolongado en el estudio electrofi siológico en el restante. Este dato coincide con trabajos recientemente publicados [13][14][15] . Si bien la tendencia del uso del marcapasos ha ido disminuyendo, nuestra tasa sobre su empleo coincide con la de otros registros contemporáneos [16][17][18] .…”

Section: Discussionunclassified

Experiencia de implante percutáneo de la válvula aórtica en pacientes con estenosis aórtica severa descartados de cirugía convencional por alto riesgo quirúrgico en una comunidad rural

Blanco¹,

Intervencionista.²,

Blanco³

et al. 2019

RACI

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Introducción. El reemplazo valvular aórtico quirúrgico es el tratamiento de elección en la estenosis aórtica severa sintomática. Ocasionalmente la edad avanzada y las comorbilidades imposibilitan la cirugía donde el reemplazo valvular percutáneo representa una alternativa válida. Objetivo. Comunicar la experiencia del reemplazo percutáneo de la válvula aórtica en pacientes con estenosis aórtica severa y descartados de cirugía convencional por alto riesgo en una comunidad rural. Material y métodos. Registro de 29 pacientes consecutivos con estenosis aórtica severa (área ≤1 cm2) sintomática y riesgo quirúrgico elevado sometidos a implante percutáneo entre el 01/12/2016 al 31/03/2018, utilizando una estrategia multidisciplinaria que involucró a diversos especialistas que conformaban el heart team. Se evaluaron las características basales de los pacientes, resultados del procedimiento, tipo de anestesia utilizada, sintomatología e internaciones en la evolución, y mortalidad al 01/04/2018.

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Section: Discussionunclassified

Experiencia de implante percutáneo de la válvula aórtica en pacientes con estenosis aórtica severa descartados de cirugía convencional por alto riesgo quirúrgico en una comunidad rural

Blanco¹,

Intervencionista.²,

Blanco³

et al. 2019

RACI

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“…54 While these strategies are valuable, the prevalence of new onset conduction disturbances will continue to rise -particularly as percutaneous SHD interventions expand to an increasingly broader population of patients -unless novel strategies to prevent conduction disturbances are identified. Based on the studies outlined above, this pathogenic mechanism is best described for TAVI 55 but is likely relevant to a broader range of procedures given the well-known anatomical proximity of the conduction system to the atrial and ventricular septa, tricuspid valve, and aortic valve. 1,56 Improved device design to minimize physical impingement on the conduction system is one such strategy to prevent new onset conduction disturbances.…”

Section: Current and Novel Strategies To Address Conduction Disturbancesmentioning

confidence: 99%

Anatomical Considerations and Emerging Strategies for Reducing New Onset Conduction Disturbances in Percutaneous Structural Heart Disease Interventions

et al. 2021

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“…Transcatheter aortic valve implantation (TAVI) is an effective treatment for severe aortic stenosis in patients at intermediate or high surgical risk [ 1 , 2 ]. However, damage to the native conduction system including complete atrioventricular (AV) block (6–25%) and new left bundle branch block (LBBB) (4–65%) may occur and offset the benefit of the intervention [ 3 – 5 ]. New-onset LBBB causes a delay in depolarisation of the left ventricle and predicts higher cardiovascular morbidity and mortality and high rates of pacemaker implantation [ 2 , 6 ].…”

Section: Introductionmentioning

confidence: 99%

His-Bundle Pacing in a Patient with Transcatheter Aortic Valve Implantation-Induced Left Bundle Branch Block

Sen

Mok

Perrin

2018

Case Reports in Cardiology

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Transcatheter aortic valve implantation (TAVI) is an effective intervention for severe aortic stenosis in patients at intermediate or high surgical risk, but damage to the native conduction system such as left bundle branch block (LBBB) may offset its benefits. New onset LBBB is associated with a higher risk of cardiovascular morbidity and mortality. His-bundle pacing (HBP) may be useful to treat TAVI-induced LBBB but has yet to be reported. We present the case of a 76-year-old man with severe symptomatic aortic stenosis treated with TAVI. His preoperative electrocardiogram showed sinus rhythm with a narrow QRS complex. Insertion of a CoreValve Evolut R transcatheter aortic valve was uneventful apart from the development of LBBB with a long PR interval. A dual-lead DDD pacemaker was implanted via the left cephalic vein on the following day. HV was mildly prolonged at 60 ms. Capture of the proximal His restored AV synchrony without correction of LBBB. Repositioning of the lead with capture of the left bundle branch enabled complete ventricular resynchronisation with a single lead. Our case demonstrates that LBBB in the setting of TAVI may be corrected by HBP.

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Permanent pacing after transcatheter aortic valve implantation of a CoreValve prosthesis as determined by electrocardiographic and electrophysiological predictors: a single-centre experience

Abstract: Conduction was affected in all pts undergoing TAVI, but serious complications that required permanent pacing generally occurred in pts with pre-existing conduction abnormalities.

Cited by 41 publications

References 20 publications

Experiencia de implante percutáneo de la válvula aórtica en pacientes con estenosis aórtica severa descartados de cirugía convencional por alto riesgo quirúrgico en una comunidad rural

Experiencia de implante percutáneo de la válvula aórtica en pacientes con estenosis aórtica severa descartados de cirugía convencional por alto riesgo quirúrgico en una comunidad rural

Anatomical Considerations and Emerging Strategies for Reducing New Onset Conduction Disturbances in Percutaneous Structural Heart Disease Interventions

His-Bundle Pacing in a Patient with Transcatheter Aortic Valve Implantation-Induced Left Bundle Branch Block

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