Trends in the occurrence of new conduction abnormalities after transcatheter aortic valve implantation

Boon, Robert M.A. van der; Houthuizen, Patrick; Ureña, Marina; Poels, Thomas T.; Mieghem, Nicolás M. Van; Brueren, Guus; Altintas, Sibel; Nuis, Rutger Jan; Serruys, Patrick W.; Garsse, Leen van; Domburg, Ron T. van; Cabau, J. Rodes; Jaegere, Peter P.T. de; Prinzen, Frits W.

doi:10.1002/ccd.25765

Cited by 49 publications

(27 citation statements)

References 43 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The markedly higher PPMIR reported for the self-expanding CoreValve (Medtronic, Minneapolis, Minnesota) (range, 24% to 33%) (10) was suggested to be caused by the design-related extension of the stent deeper into the left ventricular outflow tract (LVOT) (8). Higher implantation of the valve was indeed reported to reduce the PPMIR (16). The longer stent of the S3 that may extend deeper into the LVOT may also result in a higher rate of AVCAs compared with the previous valve generation.…”

mentioning

confidence: 91%

Changes in the Pacemaker Rate After Transition From Edwards SAPIEN XT to SAPIEN 3 Transcatheter Aortic Valve Implantation

Torres-Alba

Kaleschke

Diller

et al. 2016

JACC: Cardiovascular Interventions

154

View full text Add to dashboard Cite

show abstract

mentioning

confidence: 91%

Changes in the Pacemaker Rate After Transition From Edwards SAPIEN XT to SAPIEN 3 Transcatheter Aortic Valve Implantation

Torres-Alba

Kaleschke

Diller

et al. 2016

JACC: Cardiovascular Interventions

154

View full text Add to dashboard Cite

show abstract

“…Factors that predispose patients to TAVR-related PPM include right bundle branch block or left anterior fascicular block at baseline, smaller left ventricular outflow tract diameter, valve oversizing, a higher ratio of annulus diameter to left ventricular outflow tract diameter, depth of the prosthesis in the left ventricular outflow tract, severe mitral annular calcification, and calcification of either the left ventricular outflow tract or left or right coronary cusp. 5,13,[18][19][20][21][22] Although both LBBB and the need for PPM have been reported at higher rates with self-expanding valves compared to balloon-expandable valves, 11,18,23 the gap in post-TAVR PPM is narrowing with the newest generation of commercially available balloon-expandable and self-expanding valves. 22 In our study, new onset of persistent LBBB or worsening of LBBB was not associated with mortality at 1 year, with event rates too low to draw statistical conclusions.…”

Section: Discussionmentioning

confidence: 99%

Effect of new and persistent left bundle branch block after transcatheter aortic valve replacement on long-term need for pacemaker implantation

Hamandi

Tabachnick

Lanfear

et al. 2020

Baylor University Medical Center Proceedings

View full text Add to dashboard Cite

Cardiac conduction abnormalities, including left bundle branch block (LBBB), are common following transcatheter aortic valve replacement (TAVR). This study assessed the incidence and outcomes of new or widening persistent LBBB following TAVR. Data regarding 550 consecutive patients undergoing TAVR between 2012 and 2016 at our institution were retrospectively reviewed. Both 30-day and 1-year outcomes of patients with isolated new or worsening LBBB following TAVR were reviewed. Fifty-two patients (9.5%) developed new or worsening LBBB. Six of the 52 (11.5%) patients received a permanent pacemaker (PPM) for LBBB prior to discharge. For patients discharged home following TAVR without a PPM, the 1-year PPM requirement was 15.2% in patients with new or worsening LBBB compared to 4.5% in patients without new or worsening LBBB (P ¼ 0.01). One-year mortality rates for patients who did not have a new PPM placed before discharge were 15.2% in patients with new or worsening LBBB, 13.9% in patients without new or worsening LBBB, and 11.9% in patients with preoperative PPMs (P ¼ 0.81). Patients with new or worsening persistent LBBB discharged without a PPM experience a higher requirement for PPM implantation in the year following TAVR compared to patients without new or worsening persistent LBBB. KEYWORDS Left bundle branch block; permanent pacemaker; transcatheter aortic valve replacement C ardiac conduction abnormalities are one of the most common adverse events following transcatheter aortic valve replacement (TAVR), and the incidence of new left bundle branch block (LBBB) ranges from 5% to 65%. 1 LBBB is an issue because anatomically, the left bundle branch is near the site of valve deployment and can be disrupted by the native calcium or by the valve prosthesis. 2,3 Newer-generation valves with sealing skirts and higher radial strength may create more conduction anomalies than earlier generation valves. 4 Deployment can cause temporary or permanent damage that results in the development of LBBB. Recommendations for patients with new LBBB after TAVR include a 30day mobile cardiac outpatient telemetry device or an implantable loop recorder, although, at the time this study was completed, there were no commonly regarded

show abstract

“…Previous studies have stated that cardiac CD is associated with longer QRS, SEV implantation, diabetes mellitus, post dilatation, and ID. [19][20][21][22] However, the relationship between MS length and the incidence of PPM implantation following TAVR with BEV is still controversial. 9,10 Oestreich et al showed that mean MS length was 7.5 mm in all their study subjects and no difference was observed between those with (7.9 mm) and without CD (7.2 mm); 9 however, Maeno et al indicated that a significant difference was seen in the mean MS length in patients requiring PPM (6.4 mm) and in those who did not require PPM (7.7 mm).…”

Section: Ms Length As Risk Factor For CD In Bev Patientsmentioning

confidence: 99%

Importance of Preoperative Computed Tomography Assessment of the Membranous Septal Anatomy in Patients Undergoing Transcatheter Aortic Valve Replacement With a Balloon-Expandable Valve

Miki

Senoo

Ohkura

et al. 2020

Circ J

View full text Add to dashboard Cite

sistent on the association of CD with MS in patients with a balloon-expandable valve (BEV). 9,10 Therefore, we examined whether computed tomography (CT) assessment of the MS anatomy could provide useful information about the risk of CD, PPM implantation or CLBBB, following TAVR with BEV. Methods Study Population The study population comprised 132 consecutive patients with symptomatic severe AS who underwent TAVR at Kyoto Prefectural University of Medicine between February 2016 and July 2019; 26 patients were excluded for the following reasons: 13 did not have sufficient quality of CT T ranscatheter aortic valve replacement (TAVR) has become one of the best treatment options for patients with severe aortic stenosis (AS) and high or extreme surgical risk. 1-3 The periprocedural complication rate for TAVR has markedly decreased, 4 but cardiac conduction disturbance (CD) following TAVR, such as atrioventricular block (AVB) requiring permanent pacemaker (PPM) implantation or complete left-bundle-branch block (CLBBB), is a frequent complication. 5 This is because the atrioventricular node is continuous with the His bundle and pierces the membranous septum (MS), which is just below the left ventricular (LV) outflow tract. 6,7 A previous report showed that short MS length predicted PPM implantation after TAVR with a self-expandable valve (SEV). 8 However, results from 2 studies have been incon

show abstract

Trends in the occurrence of new conduction abnormalities after transcatheter aortic valve implantation

Cited by 49 publications

References 43 publications

Changes in the Pacemaker Rate After Transition From Edwards SAPIEN XT to SAPIEN 3 Transcatheter Aortic Valve Implantation

Changes in the Pacemaker Rate After Transition From Edwards SAPIEN XT to SAPIEN 3 Transcatheter Aortic Valve Implantation

Effect of new and persistent left bundle branch block after transcatheter aortic valve replacement on long-term need for pacemaker implantation

Importance of Preoperative Computed Tomography Assessment of the Membranous Septal Anatomy in Patients Undergoing Transcatheter Aortic Valve Replacement With a Balloon-Expandable Valve

Contact Info

Product

Resources

About