Pacemaker Implantation After Transcatheter Aortic Valve Implantation

Goldenberg, Gustavo; Kusniec, Jairo; Kadmon, Ehud; Golovchiner, Gregory; Zabarsky, Ronit; Nevzorov, R.; Vaknin, Hana; Assali, Abbid; Kornowski, Ran; Haim, Moti; Strasberg, Boris

doi:10.1016/j.amjcard.2013.07.022

Cited by 27 publications

(26 citation statements)

References 17 publications

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“…It is notable that the recovery of LVEF after TAVI was most impaired in patients with lower LVEF at baseline, who constituted a greater proportion of the prior PPM patients. The magnitude of difference in recovery of LVEF between new and prior PPM patients may represent a continuum due to less duration of RV pacing or less frequent pacing in the former, as new PPM patients may recover intrinsic conduction after TAVI 22 23…”

Section: Discussionmentioning

confidence: 99%

Chronic pacing and adverse outcomes after transcatheter aortic valve implantation

Dizon

Nazif

Hess

et al. 2015

Heart

121

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Section: Discussionmentioning

confidence: 99%

Chronic pacing and adverse outcomes after transcatheter aortic valve implantation

Dizon

Nazif

Hess

et al. 2015

Heart

121

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“…New onset or impairment of previous ECDs has been reported in up to 77% of patients after TAVI . There are known relations between deep CoreValve implantations into the LVOT and the appearance of ECDs and subsequent need for pacemaker implantation . It is interesting to note that according to our experience, the need for a pacemaker was still relatively high, despite close proximity to the target line located 4 mm.…”

Section: Discussionmentioning

confidence: 56%

“…In our experience 53.3% of patients needing a pacemaker implantation after TAVI presented with RBBB in their baseline electrocardiogram. Nonetheless, according to a recent study from our group, only 29% of those patients implanted with pacemakers following TAVI were still pacemaker dependent at follow up .…”

Section: Discussionmentioning

confidence: 71%

C‐THV measures of self‐expandable valve positioning and correlation with implant outcomes

Codner

Lavi

Malki

et al. 2014

Cathet Cardio Intervent

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“…[21] Transkateter aort kapak implantasyonu hastalarında bu oran %26'lar civarındadır. [22] Bizim çalışmamızda ise ameliyat sonrası AV tam blok gelişen iki hasta vardı. Fakat sadece birinin (%3.7) kalıcı kalp piline ihtiyacı oldu.…”

Section: Discussionunclassified

Early- and mid-term results of sutureless aortic valve replacement in high-risk patients: our single-center experience

Göde¹

2016

Turk Gogus Kalp Dama

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ÖZAmaç: Bu çalışmada kalsifik ileri aort darlığı olan yüksek riskli hastalarda dikişsiz biyoprotez aort kapak replasmanının erken ve orta dönem sonuçları sunuldu. Ça lış ma pla nı: Temmuz 2014 -Temmuz 2015 tarihleri arasında üç tipten biri (3F Enable, Perceval S ve Edwards) kullanılarak dikişsiz biyoprotez aort kapak replasmanı yapılan 27 hasta (9 erkek, 18 kadın; ort. yaş 72.96±6.15 yıl; dağılım 62-85 yıl) çalışmaya alındı. Hastaların demografik verileri ve taburculuk sırasında, üçüncü ve altıncı ayda ekokardiyografi sonuçları karşılaştırıldı. Bul gu lar: Onbir hastaya aort kapak replasmanı ile birlikte koroner arter baypas greftleme yapıldı. Ortalama total perfüzyon zamanı ve aortik kros klemp zamanı sırasıyla, 84.2±33.8 dakika ve 45.2±19.2 dakika idi. Hastaların takip ekokardiyografilerinde iyi hemodinamik performans ve düşük aortik gradiyent saptandı. Üçüncü ay ve sonrasındaki ekokardiyografilerde septum kalınlığı, taburculuk ekokardiyografisine kıyasla, anlamlı olarak azaldı (p=0.008). Hastaların biri protez kapak migrasyonu, biri de ileri paravalvüler kaçak gelişmesi nedeni ile tekrar ameliyat edildi. İki hasta ise kalp dışı nedenlerden dolayı 37. ve 81. günlerde kaybedildi. So nuç: İşlem sonrası erken dönemde migrasyon ve paravalvüler kaçak gibi kapağa bağlı komplikasyonlar görülebilmekle birlikte, dikişssiz aort kapak replasmanının total perfüzyon zamanını ve aortik kross klemp zamanını azaltması en büyük avantajlarındandır.Anah tar söz cük ler: Aort kapak replasmanı; mortalite; dikişsiz aort kapak. ABSTRACTBackground:In this study, we present early-and mid-term results of sutureless bioprosthetic aortic valve replacement in high-risk patients with severe calcific aortic stenosis. Methods: Between July 2014 and July 2015, 27 patients (9 males, 18 females; mean age 72.96±6.15 years; range 62 to 85 years) who underwent sutureless bioprosthetic aortic valve replacement using one of three types (3F Enable, Perceval S, and Edwards) were included in the study. Demographic data of the patients and echocardiographic findings at discharge, three and six months were compared. Results:Eleven patients underwent aortic valve replacement in conjunction with coronary artery bypass grafting. The mean total perfusion time and aortic cross-clamp time were 84.2±33.8 min and 45.2±19.2 min, respectively. Good hemodynamic performance and low aortic gradient were detected on follow-up echocardiographies of the patients. The septal thickness was lower at three months and thereafter on echocardiography, than the discharge echocardiography (p=0.008). Two patients were reoperated due to prosthetic valve migration and advanced paravalvular leak. Two patients died due to non-cardiac causes in the 37 th and 81 st postoperative days.

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Pacemaker Implantation After Transcatheter Aortic Valve Implantation

Cited by 27 publications

References 17 publications

Chronic pacing and adverse outcomes after transcatheter aortic valve implantation

Chronic pacing and adverse outcomes after transcatheter aortic valve implantation

C‐THV measures of self‐expandable valve positioning and correlation with implant outcomes

Early- and mid-term results of sutureless aortic valve replacement in high-risk patients: our single-center experience

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