Late-onset atrioventricular block after transcatheter aortic valve replacement.
Complete atrioventricular block
Late-onset atrioventricular block
Late-onset pacemaker implantation
Transcatheter aortic valve implantation
Transcatheter aortic valve replacement
Journal
Heart rhythm O2
ISSN: 2666-5018
Titre abrégé: Heart Rhythm O2
Pays: United States
ID NLM: 101768511
Informations de publication
Date de publication:
Dec 2021
Dec 2021
Historique:
entrez:
6
1
2022
pubmed:
7
1
2022
medline:
7
1
2022
Statut:
epublish
Résumé
Conduction disturbances leading to permanent pacemaker implantation (PPI) rarely occur late after transcatheter aortic valve replacement (TAVR). The clinical features of this phenomenon and its association with periprocedural conduction disturbances remain uncertain. We aimed to determine the incidence and characteristics of late-onset atrioventricular block (AVB) after TAVR. This single-center study included 246 patients undergoing TAVR. Late-onset AVB was defined as AVB ≥1 month after the TAVR. Periprocedural AVB (periAVB) occurred in 43 patients (17%). Patients with periAVB had a higher rate of right bundle branch block (47% vs 7%, Late-onset AVB occurred in a minority of patients undergoing TAVR. Greater vigilance is warranted, particularly in patients with transient conduction disturbances during the periprocedural period following self-expanding valve implantation.
Sections du résumé
BACKGROUND
BACKGROUND
Conduction disturbances leading to permanent pacemaker implantation (PPI) rarely occur late after transcatheter aortic valve replacement (TAVR). The clinical features of this phenomenon and its association with periprocedural conduction disturbances remain uncertain.
OBJECTIVES
OBJECTIVE
We aimed to determine the incidence and characteristics of late-onset atrioventricular block (AVB) after TAVR.
METHODS
METHODS
This single-center study included 246 patients undergoing TAVR. Late-onset AVB was defined as AVB ≥1 month after the TAVR.
RESULTS
RESULTS
Periprocedural AVB (periAVB) occurred in 43 patients (17%). Patients with periAVB had a higher rate of right bundle branch block (47% vs 7%,
CONCLUSION
CONCLUSIONS
Late-onset AVB occurred in a minority of patients undergoing TAVR. Greater vigilance is warranted, particularly in patients with transient conduction disturbances during the periprocedural period following self-expanding valve implantation.
Identifiants
pubmed: 34988505
doi: 10.1016/j.hroo.2021.11.001
pii: S2666-5018(21)00211-7
pmc: PMC8703188
doi:
Types de publication
Journal Article
Langues
eng
Pagination
607-613Informations de copyright
© 2021 Heart Rhythm Society. Published by Elsevier Inc.
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