Cardiac conduction system disease after transcatheter aortic valve replacement

Steinberg, Benjamin A.; Harrison, J. Kevin; Frazier‐Mills, Camille; Hughes, G. Chad; Piccini, Jonathan P.

doi:10.1016/j.ahj.2012.07.028

Cited by 44 publications

(40 citation statements)

References 44 publications

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“…PPM implantation is significantly higher in patients undergoing TAVR compared with the surgical replacement method . Previous studies have reported that one of the most commonly encountered complication types is a conduction abnormality, such as left bundle branch block (LBBB), right bundle branch block (RBBB), and atrioventricular block (AVB) . These abnormalities often require subsequent PPM implantation to prevent further adverse events.…”

Section: Introductionmentioning

confidence: 99%

Incidence of arrhythmias and impact of permanent pacemaker implantation in hospitalizations with transcatheter aortic valve replacement

Doshi

Decter

Meraj

2018

Clinical Cardiology

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Section: Introductionmentioning

confidence: 99%

Incidence of arrhythmias and impact of permanent pacemaker implantation in hospitalizations with transcatheter aortic valve replacement

Doshi

Decter

Meraj

2018

Clinical Cardiology

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“…Most investigators agree that conduction abnormalities are primarily due to mechanical compression of the cardiac conduction system by the device, although other factors may be involved 95, 126, 140 .…”

Section: Introductionmentioning

confidence: 99%

On the Mechanics of Transcatheter Aortic Valve Replacement

et al. 2016

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Transcatheter aortic valves (TAVs) represent the latest advances in prosthetic heart valve technology. TAVs are truly transformational as they bring the benefit of heart valve replacement to patients that would otherwise not be operated on. Nevertheless, like any new device technology, the high expectations are dampened with growing concerns arising from frequent complications that develop in patients, indicating that the technology is far from being mature. Some of the most common complications that plague current TAV devices include malpositioning, crimp-induced leaflet damage, paravalvular leak, thrombosis, conduction abnormalities and prosthesis-patient mismatch. In this article, we provide an in-depth review of the current state-of-the-art pertaining the mechanics of TAVs while highlighting various studies guiding clinicians, regulatory agencies, and next-generation device designers.

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“…The most common indications for cardiac pacemaker implantation after TAVI include complete heart block, atrial fibrillation with bradycardia, first or second degree atrio‐ventricular block with bundle branch block, sick sinus syndrome or pauses and tri‐fascicular block . RBBB has been established as a strong predictor for the need of pacemaker implantation after TAVI . In our experience 53.3% of patients needing a pacemaker implantation after TAVI presented with RBBB in their baseline electrocardiogram.…”

Section: Discussionmentioning

confidence: 75%

“…This wide range reflects the differences between institutions' policies and the need for standardized guidelines for pacemaker implantation after TAVI. The most common indications for cardiac pacemaker implantation after TAVI include complete heart block, atrial fibrillation with bradycardia, first or second degree atrio‐ventricular block with bundle branch block, sick sinus syndrome or pauses and tri‐fascicular block . RBBB has been established as a strong predictor for the need of pacemaker implantation after TAVI .…”

Section: Discussionmentioning

confidence: 99%