Conduction Abnormalities after Transcatheter Aortic Valve Implantation: Incidence, Impact and Management Using CT Data Interpretation

被引:0
作者
Nuis, Rutger-Jan [1 ]
van den Dorpel, Mark [1 ]
Adrichem, Rik [1 ]
Daemen, Joost [1 ]
Van Mieghem, Nicolas [1 ]
机构
[1] Erasmus MC, Dept Cardiol, Thoraxctr, Rotterdam, Netherlands
来源
INTERVENTIONAL CARDIOLOGY-REVIEWS RESEARCH RESOURCES | 2024年 / 19卷
关键词
conduction abnormalities; permanent pacemaker; left bundle branch block; multi-sliced CT; BUNDLE-BRANCH BLOCK; PERMANENT PACEMAKER IMPLANTATION; VENTRICULAR OUTFLOW TRACT; BALLOON-EXPANDABLE VALVES; CLINICAL-OUTCOMES; ATRIOVENTRICULAR-BLOCK; EVOLUT-R; REPLACEMENT; PREDICTORS; RISK;
D O I
10.15420/icr.2024.11
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The demonstrated safety and effectiveness of transcatheter aortic valve implantation (TAVI) among low surgical risk patients opened the road to its application in younger low-risk patients. However, the occurrence of conduction abnormalities and need for permanent pacemaker implantation remains a frequent problem associated with adverse outcomes. The clinical implications may become greater when TAVI shifts towards younger populations, highlighting the need for comprehensive strategies to address this issue. Beyond currently available clinical and electrocardiographic predictors, patient-specific anatomical assessment of the aortic root using multi-sliced CT (MSCT) imaging can refine risk stratification. Moreover, leveraging MSCT data for computational 3D simulations to predict device-anatomy interactions may help guide procedural strategy to mitigate conduction abnormalities. The aims of this review are to summarise the incidence and clinical impact of new left bundle branch block and permanent pacemaker implantation post-TAVI using contemporary transcatheter heart valves; and highlight the value of MSCT data interpretation to improve the management of this complication.
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页数:5
相关论文
共 57 条
[1]  
Ancona MB, 2020, J INVASIVE CARDIOL, V32, P180
[2]   Impact of different degrees of computed tomography-based oversizing on clinical outcomes after transcatheter aortic valve implantation using the Portico system [J].
Aslan, Serkan ;
Demir, Ali Riza ;
Uzun, Fatih ;
Celik, Omer ;
Kalkan, Ali Kemal ;
Erturk, Mehmet .
TURK KARDIYOLOJI DERNEGI ARSIVI-ARCHIVES OF THE TURKISH SOCIETY OF CARDIOLOGY, 2021, 49 (03) :180-190
[3]   Quality of life outcomes in transcatheter aortic valve replacement patients requiring pacemaker implantation [J].
Bhardwaj, Aishwarya ;
Ramanan, Tharmathai ;
Sawant, Abhishek C. ;
Sinibaldi, Everett ;
Pham, Michael ;
Khan, Sahoor ;
Qureshi, Reema ;
Agrawal, Nikhil ;
Khalil, Charl ;
Hansen, Rosemary ;
Baldo, Shannon ;
Colern, Gerald ;
Corbelli, John ;
Pershad, Ashish ;
Beck, Hiroko ;
Iyer, Vijay .
JOURNAL OF ARRHYTHMIA, 2018, 34 (04) :441-449
[4]   Relevance of New Conduction Disorders After Implantation of the ACURATE Neo Transcatheter Heart Valve in the Aortic Valve Position [J].
Brinkert, Miriam ;
Wolfrum, Mathias ;
Moccetti, Federico ;
Bossard, Matthias ;
Berte, Benjamin ;
Cuculi, Florim ;
Kobza, Richard ;
Toggweiler, Stefan .
AMERICAN JOURNAL OF CARDIOLOGY, 2020, 125 (05) :783-787
[5]   Transcatheter Aortic Valve Replacement With the Latest-Iteration Self-Expanding or Balloon-Expandable Valves The Multicenter OPERA-TAVI Registry [J].
Costa, Giuliano ;
Saia, Francesco ;
Pilgrim, Thomas ;
Abdel-Wahab, Mohamed ;
Garot, Philippe ;
Valvo, Roberto ;
Gandolfo, Caterina ;
Branca, Luca ;
Latib, Azeem ;
Santos, Ignacio Amat ;
Mylotte, Darren ;
De Marco, Federico ;
De Backer, Ole ;
Franco, Luis Nombela ;
Akodad, Mariama ;
Mazzapicchi, Alessandro ;
Tomii, Daijiro ;
Laforgia, Pietro ;
Cannata, Stefano ;
Fiorina, Claudia ;
Scotti, Andrea ;
Lunardi, Mattia ;
Poletti, Enrico ;
Mazzucca, Mattia ;
Quagliana, Angelo ;
Hennessey, Breda ;
Meier, David ;
Adamo, Marianna ;
Sgroi, Carmelo ;
Reddavid, Claudia Maria ;
Strazzieri, Orazio ;
Motta, Silvia Crescenzia ;
Frittitta, Valentina ;
Dipietro, Elena ;
Comis, Alessandro ;
Melfa, Chiara ;
Thiele, Holger ;
Webb, John G. ;
Sondergaard, Lars ;
Tamburino, Corrado ;
Barbanti, Marco .
JACC-CARDIOVASCULAR INTERVENTIONS, 2022, 15 (23) :2398-2407
[6]   SITES OF CONDUCTION DISEASE IN AORTIC-STENOSIS - SIGNIFICANCE OF VALVE GRADIENT AND CALCIFICATION [J].
DHINGRA, RC ;
AMATYLEON, F ;
PIETRAS, RJ ;
WYNDHAM, C ;
DEEDWANIA, PC ;
WU, D ;
DENES, P ;
ROSEN, KM .
ANNALS OF INTERNAL MEDICINE, 1977, 87 (03) :275-280
[7]   Patient-Specific Computer Simulation to Predict Conduction Disturbance With Current-Generation Self-Expanding Transcatheter Heart Valves [J].
Dowling, Cameron ;
Gooley, Robert ;
McCormick, Liam ;
Rashid, Hashrul N. ;
Dargan, James ;
Khan, Faisal ;
Firoozi, Sami ;
Brecker, Stephen J. .
STRUCTURAL HEART-THE JOURNAL OF THE HEART TEAM, 2022, 6 (03)
[8]   Patient-Specific Computer Simulation in TAVR With the Self-Expanding Evolut R Valve [J].
El Faquir, Nahid ;
De Backer, Ole ;
Bosmans, Johan ;
Rudolph, Tanja ;
Buzzatti, Nicola ;
Bieliauskas, Gintautas ;
Collas, Valerie ;
Wienemann, Hendrik ;
Schiavi, Davide ;
Cummins, Paul ;
Rahhab, Zouhair ;
Kroon, Herbert ;
Wolff, Quinten ;
Lenzen, Mattie ;
Ribeiro, Joana Maria ;
Latib, Azeem ;
Adam, Matti ;
Sondergaard, Lars ;
Ren, Ben ;
Van Mieghem, Nicolas ;
de Jaegere, Peter .
JACC-CARDIOVASCULAR INTERVENTIONS, 2020, 13 (15) :1803-1812
[9]   Incidence, Predictors, and Outcomes of Permanent Pacemaker Implantation Following Transcatheter Aortic Analysis From the US Society of Thoracic Surgeons/American College of Cardiology TVT Registry [J].
Fadahunsi, Opeyemi O. ;
Olowoyeye, Abiola ;
Ukaigwe, Anene ;
Li, Zhuokai ;
Vora, Amit N. ;
Vemulapalli, Sreekanth ;
Elgin, Eric ;
Donato, Anthony .
JACC-CARDIOVASCULAR INTERVENTIONS, 2016, 9 (21) :2189-2199
[10]   Clinical impact of conduction disturbances in transcatheter aortic valve replacement recipients: a systematic review and meta-analysis [J].
Faroux, Laurent ;
Chen, Shmuel ;
Muntane-Carol, Guillem ;
Regueiro, Ander ;
Philippon, Francois ;
Sondergaard, Lars ;
Jorgensen, Troels H. ;
Lopez-Aguilera, Jose ;
Kodali, Susheel ;
Leon, Martin ;
Nazif, Tamim ;
Rodes-Cabau, Josep .
EUROPEAN HEART JOURNAL, 2020, 41 (29) :2771-+