Predictors of Permanent Pacemaker Implantation After Transcatheter Aortic Valve Replacement With the SAPIEN 3

Mauri, Victor; Reimann, Andreas; Stern, Daniel; Scherner, Maximilian; Kuhn, Elmar; Rudolph, Volker; Rosenkranz, Stephan; Eghbalzadeh, Kaveh; Friedrichs, Kai; Wahlers, Thorsten; Baldus, Stephan; Madershahian, Navid; Rudolph, Tanja K.

doi:10.1016/j.jcin.2016.08.034

Cited by 177 publications

(124 citation statements)

References 26 publications

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“…TAVR patients in the current study had a nonsignificant but clear trend towards increased pacemaker placement rate compared with surgical patients (12 vs. 4%, P = 0.056), a finding consistent with recent literature including the PARTNER 2A trial . When specified by specific TAVR system, real‐world registry data from STS/TVT Registry suggests a significantly higher pacemaker rate with the CoreValve system (25.1%), and increased 1‐year mortality associated with implantation, consistent with other studies .…”

Section: Discussionsupporting

confidence: 89%

Impact of small prosthesis size on transcatheter or surgical aortic valve replacement outcomes

Salna

Khalique

Chiuzan

et al. 2017

Cathet Cardio Intervent

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Section: Discussionsupporting

confidence: 89%

Impact of small prosthesis size on transcatheter or surgical aortic valve replacement outcomes

Salna

Khalique

Chiuzan

et al. 2017

Cathet Cardio Intervent

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“…Despite recent decreases in overall procedural complications associated with TAVI, AV conduction disorders requiring permanent pacemakers remains relatively frequent, occurring in about 6% of patients following balloon‐expandable valve (BEV) implantation (interquartile range 5–7%) and about 28% following self‐expanding valve (SEV) implantation (interquartile range 24–35%) vs 6.6% with SAVR . The majority of permanent pacemakers following TAVI or SVAR are for high‐degree AV block (HDAVB) including complete AV block and Mobitz‐type II second‐degree AV block …”

Section: Introductionmentioning

confidence: 99%

Characteristics of and current practice patterns of pacing for high‐degree atrioventricular block after transcatheter aortic valve implantation in comparison to surgical aortic valve replacement

Misumida

Pagath

Ogunbayo

et al. 2018

Cathet Cardio Intervent

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Objective We aimed to investigate the current practice patterns of permanent pacing, especially the timing of implantation, for high‐degree AV block (HDAVB) following transcatheter aortic valve implantation (TAVI) and surgical aortic valve replacement (SAVR). Background Comparative data regarding current practice patterns of permanent pacing for HDAVB between TAVI and SAVR is limited. Methods Using the National Inpatient Sample database, we identified patients who underwent TAVI or SAVR between 2012 and 2014. The incidence of HDAVB, the rate of permanent pacemaker implantation, and the timing of implantations were compared between TAVI and SAVR groups. Results We identified 33 690 and 202 110 patients who underwent TAVI and SAVR, respectively. HDAVB occurred in 3480 patients (10.3%) in the TAVI group and 11 405 patients (5.6%) in the SAVR group (P < 0.001). Among the patients who developed HDAVB, patients in the TAVI group were more likely to undergo permanent pacemaker implantation than those in the SAVR group (74.1% vs 64.7%; P < 0.001). The median interval from TAVI to pacemaker implantation was 2 days (interquartile range 1‐3 days) vs 5 days (interquartile range 3‐7 days) from SAVR to pacemaker implantation (P < 0.001). Among the patients who developed HDAVB, TAVI was associated with higher rates of permanent pacemaker implantation after adjusting for other comorbidities (odds ratio 1.41:95% confidence interval 1.13‐1.77; P = 0.003). Conclusions HDAVB occurred more commonly after TAVI compared to SAVR. HDAVB after TAVI compared to SAVR was associated with a higher rate of permanent pacemaker implantation at an earlier timing from the index procedure.

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“…In contrast, the rate of permanent pacemaker implantation has remained stubbornly high . Procedural strategies including high implantation site may help to prevent new heart block . In the longer term, considerations such as subclinical leaflet thrombosis, structural valve deterioration, and valve durability have yet to be resolved …”

Section: Introductionmentioning

confidence: 99%

Contemporary transcatheter aortic valve replacement with third‐generation balloon‐expandable versus self‐expanding devices

Rogers

Steinvil

Buchanan

et al. 2017

J Interven Cardiology

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Predictors of Permanent Pacemaker Implantation After Transcatheter Aortic Valve Replacement With the SAPIEN 3

Cited by 177 publications

References 26 publications

Impact of small prosthesis size on transcatheter or surgical aortic valve replacement outcomes

Impact of small prosthesis size on transcatheter or surgical aortic valve replacement outcomes

Characteristics of and current practice patterns of pacing for high‐degree atrioventricular block after transcatheter aortic valve implantation in comparison to surgical aortic valve replacement

Contemporary transcatheter aortic valve replacement with third‐generation balloon‐expandable versus self‐expanding devices

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