Ventricular tachycardia following trans-apical aortic valve replacement

Beinart, Roy; Danik, Stephan; Palacios, Igor F.; Barrett, Conor D.; Inglessis, Ignacio; Agnihotri, Arvind K.; Passeri, Jonathan J.

doi:10.1093/europace/eur324

Cited by 8 publications

(6 citation statements)

References 3 publications

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“…A case report of VT originating from the aortomitral continuity region in a patient with transapical TAVR has been reported, but no confirmatory electrophysiology study was performed in the patient 12 . BBR-VT after TAVR has not been reported to date.…”

Section: Discussionmentioning

confidence: 99%

Bundle branch reentrant ventricular tachycardia after transcatheter aortic valve replacement

Singh

Lahiri

Khan

et al. 2017

HeartRhythm Case Reports

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Section: Discussionmentioning

confidence: 99%

Bundle branch reentrant ventricular tachycardia after transcatheter aortic valve replacement

Singh

Lahiri

Khan

et al. 2017

HeartRhythm Case Reports

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“…The previous case reported in the literature was also suspected to be of LVOT origin based on surface ECG morphology but was treated medically without further evaluation by invasive electrophysiologic study. 1 Here we report a successful case of RF ablation from the left coronary sinus of Valsalva, behind the TAVR valve strut, assisted by intracardiac echocardiography and a magnetic catheter navigation system.…”

Section: Discussionmentioning

confidence: 99%

Ablation of ventricular tachycardia from the aortic root after transcatheter aortic valve replacement

Srivatsa

Nordsieck

Pezeshkian

et al. 2018

HeartRhythm Case Reports

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“…In addition, the local tissue injury and edema due to transapical manipulations could trigger the above-mentioned disorders. 29 …”

Section: Discussionmentioning

confidence: 99%

Factors associated with early cardiac complications following transcatheter aortic valve implantation with transapical approach

Patris

Giakoumidakis

Argiriou

et al. 2018

POR

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PurposeTo estimate the incidence of postprocedural early cardiac complications among patients undergoing transcatheter aortic valve implantation, through transapical approach (TA-TAVI), and to identify factors independently associated with the occurrence of them.Patients and methodsA retrospective cohort study of 90 patients, who had undergone TA-TAVI in a tertiary hospital of Liverpool, UK, during a 5-year period (September 2008–October 2013), was conducted. Data on patient demographics, periprocedural characteristics and cardiac complications presented within 30-day post TA-TAVI were collected, retrospectively, using the hospital’s electronic database.ResultsThe overall 30-day incidence of cardiac complications was estimated at 18.9% (n=17/90). The rate of new onset of atrial fibrillation (AF), atrioventricular block requiring permanent pacemaker implantation, shockable cardiac arrest rhythm and cardiac tamponade was 11.1%, 3.3%, 2.2% and 2.2%, respectively. Bivariate analysis found that absence of preoperative AF (p=0.01), receiving of oral inotropes preprocedurally (p=0.01), intravenous inotropic support postprocedurally (p=0.01) and requirement for postprocedural tracheal intubation (p=0.001) were the main factors associated with increased probability for patient cardiac morbidity.ConclusionIt seems that patients with absence of AF and oral inotropic support preprocedurally and those with post TA-TAVI mechanical ventilatory and intravenous inotropic support have greater probability to develop cardiac complications. This knowledge allows the early identification of high-risk patients and supports clinicians to apply both preventive and therapeutic interventions for the optimum patient management and care. In addition, administrators could allocate the health care system resources effectively.

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Ventricular tachycardia following trans-apical aortic valve replacement

Abstract: Transcatheter aortic valve replacement (TAVR) is a relatively new procedure for high-risk patients with severe aortic stenosis. We report a case of a new left ventricular outflow tract ventricular tachycardia following TAVR.

Cited by 8 publications

References 3 publications

Bundle branch reentrant ventricular tachycardia after transcatheter aortic valve replacement

Bundle branch reentrant ventricular tachycardia after transcatheter aortic valve replacement

Ablation of ventricular tachycardia from the aortic root after transcatheter aortic valve replacement

Factors associated with early cardiac complications following transcatheter aortic valve implantation with transapical approach

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