Quand implanter un stimulateur cardiaque après remplacement valvulaire aortique percutané ? Revue de littérature

Moini, Cyrus; Sidia, Besma; Poindron, Damien; Fiorina, Laurent; Farge, Arnaud; Amara, W.; Issa, Mário

doi:10.1016/j.ancard.2016.09.003

Cited by 2 publications

(1 citation statement)

References 23 publications

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“…17 These data show that the INTUITY valve has a slightly higher rate of early PPI than that reported for SAVR, which is approximately 3%, 18 and lower than TAVI whose reported PPI rate ranges from 8% to 30% according to the different type of TAVI device. 14,15,[19][20][21] In a meta-analysis of 14 studies about the Perceval Sutureless valve, it reported a mean rate of early PPI of 6.7%. 22 In our study, the incidence of primary end point (new-onset conduction disorders/worsening of preoperative conduction disorders) was 31.8%, without a significant difference between the two groups.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Conduction Disorders after Aortic Valve Replacement with Rapid Deployment Bioprostheses

D’Onofrio

Bagozzi

Tessari

et al. 2018

Innovations�(Phila)

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Objective The aim of this retrospective, single-center study was to evaluate the occurrence of conduction disorders after rapid deployment aortic bioprosthesis implantation. Methods Electrocardiograms of patients undergoing INTUITY (Edwards Lifesciences, Irvine, CA USA) bioprosthesis implantation were collected at admission, during postoperative course, and at discharge. Primary end point was the occurrence of new-onset conduction disorders, defined as complete left bundle branch block, complete right bundle branch block, permanent pacemaker implantation, and worsening of pre-existing rhythm abnormalities. Secondary end points were the assessment of preoperative and postoperative QRS duration and the identification of transitory conduction disorders. Results Forty-four patients (July 2015–December 2016) were included in the analysis. Preoperatively, patients with normal conduction and with already existing disorders were 25 (56.8%) and 19 (43.2%), respectively. Primary end point occurred in 14 patients (31.8%). Two patients (4.5%) received pacemaker implantation. In patients with normal preoperative conduction, new abnormalities were found in eight cases (32%): all left bundle branch blocks with one pacemaker implantation. Worsening of pre-existing conduction disorders was found in six patients (31.6%) with one pacemaker implantation. QRS duration increased in 20 patients (45.4%), and average increase was 37 milliseconds. Overall, we observed a significant increase of QRS (96 ± 21 milliseconds vs. 111 ± 28 milliseconds, P < 0.001). Three patients experienced a new-onset temporary left bundle branch block. Conclusions New-onset conduction disorders or worsening of pre-existing rhythm abnormalities occur in one third of patients after rapid deployment aortic bioprosthesis implantation. Although the incidence of postoperative pacemaker implantation before discharge is low, strict follow-up is mandatory to identify a potential need for pacemaker implantation in a timely manner.

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Section: Discussionmentioning

confidence: 99%

Evaluation of Conduction Disorders after Aortic Valve Replacement with Rapid Deployment Bioprostheses

D’Onofrio

Bagozzi

Tessari

et al. 2018

Innovations�(Phila)

View full text Add to dashboard Cite

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Transient left anterior and septal fascicular blocks after self‐expandable percutaneous transcatheter aortic valve implantation

Pérez‐Riera

Barbosa‐Barros

Oliveira

et al. 2018

Noninvasive Electrocardiol

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Transcatheter aortic valve implantation (TAVI) is indicated in severe symptomatic aortic stenosis, when there is intermediate-high surgical risk, or a condition considered inoperable, as in the case of "porcelain aorta" that could turn clamping or cannulation of the ascending aorta hazardous in open-heart surgery. Among the complications of this less invasive procedure, intraventricular conduction disorders subsequent to the procedure stand out. TAVI causes worsening of intraventricular dromotropic disorders in more than 75% of the cases, with the presence of preexisting right bundle branch block and first-degree atrioventricular block, deep prosthesis implant, male gender, size of the aortic annulus smaller than the prosthesis, and porcelain aorta being predictive of requirement for permanent pacemaker implant.

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Quand implanter un stimulateur cardiaque après remplacement valvulaire aortique percutané ? Revue de littérature

Cited by 2 publications

References 23 publications

Evaluation of Conduction Disorders after Aortic Valve Replacement with Rapid Deployment Bioprostheses

Evaluation of Conduction Disorders after Aortic Valve Replacement with Rapid Deployment Bioprostheses

Transient left anterior and septal fascicular blocks after self‐expandable percutaneous transcatheter aortic valve implantation

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