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
[41]   How to predict conduction disturbances after transcatheter aortic valve replacement [J].
Novelli, Laura ;
Jamie, Gulrays ;
Regazzoli, Damiano ;
Reimers, Bernhard ;
Frontera, Antonio ;
Mangieri, Antonio .
KARDIOLOGIA POLSKA, 2023, 81 (04) :330-337
[42]  
Otto CM, 2021, CIRCULATION, V143, pe72, DOI [10.1016/j.jacc.2020.11.035, 10.1161/CIR.0000000000000923, 10.1016/j.jacc.2020.11.018, 10.1161/CIR.0000000000000932]
[43]   Risk of conduction disturbances following different transcatheter aortic valve prostheses: the role of aortic valve calcifications [J].
Pollari, Francesco ;
Vogt, Ferdinand ;
Grossmann, Irena ;
Marianowicz, Jill ;
Claes, Marie ;
Pfeiffer, Steffen ;
Schwab, Johannes ;
Fischlein, Theodor .
JOURNAL OF GERIATRIC CARDIOLOGY, 2022, 19 (03) :167-176
[44]   Transcatheter Aortic-Valve Replacement with a Self-Expanding Valve in Low-Risk Patients [J].
Popma, Jeffrey J. ;
Deeb, G. Michael ;
Yakubov, Steven J. ;
Mumtaz, Mubashir ;
Gada, Hemal ;
O'Hair, Daniel ;
Bajwa, Tanvir ;
Heiser, John C. ;
Merhi, William ;
Kleiman, Neal S. ;
Askew, Judah ;
Sorajja, Paul ;
Rovin, Joshua ;
Chetcuti, Stanley J. ;
Adams, David H. ;
Teirstein, Paul S. ;
Zorn, George L., III ;
Forrest, John K. ;
Tchetche, Didier ;
Resar, Jon ;
Walton, Antony ;
Piazza, Nicolo ;
Ramlawi, Basel ;
Robinson, Newell ;
Petrossian, George ;
Gleason, Thomas G. ;
Oh, Jae K. ;
Boulware, Michael J. ;
Qiao, Hongyan ;
Mugglin, Andrew S. ;
Reardon, Michael J. .
NEW ENGLAND JOURNAL OF MEDICINE, 2019, 380 (18) :1706-1715
[45]   Ambulatory Rhythm Monitoring to Detect Late High-Grade Atrioventricular Block Following Transcatheter Aortic Valve Replacement [J].
Ream, Karen ;
Sandhu, Amneet ;
Valle, Javier ;
Weber, Rachel ;
Kaizer, Alexander ;
Wiktor, Dominik M. ;
Borne, Ryan T. ;
Tumolo, Alexis Z. ;
Kunkel, Megan ;
Zipse, Matthew M. ;
Schuller, Joseph ;
Tompkins, Christine ;
Rosenberg, Michael ;
Nguyen, Duy T. ;
Cleveland, Joseph C., Jr. ;
Fullerton, David ;
Carroll, John D. ;
Messenger, John ;
Sauer, William H. ;
Aleong, Ryan G. ;
Tzou, Wendy S. .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2019, 73 (20) :2538-2547
[46]   Transcatheter Aortic Valve Replacement With Balloon-Expandable Valves Comparison of SAPIEN 3 Ultra Versus SAPIEN 3 [J].
Rheude, Tobias ;
Pellegrini, Costanza ;
Lutz, Jannik ;
Alvarez-Covarrubias, Hector A. ;
Lahmann, Anna Lena ;
Mayr, N. Patrick ;
Michel, Jonathan ;
Kasel, Markus A. ;
Joner, Michael ;
Xhepa, Erion .
JACC-CARDIOVASCULAR INTERVENTIONS, 2020, 13 (22) :2631-2638
[47]   Patient-Specific Computer Simulation to Elucidate the Role of Contact Pressure in the Development of New Conduction Abnormalities After Catheter-Based Implantation of a Self-Expanding Aortic Valve [J].
Rocatello, Giorgia ;
El Faquir, Nahid ;
De Santis, Gianluca ;
Iannaccone, Francesco ;
Bosmans, Johan ;
De Backer, Ole ;
Sondergaard, Lars ;
Segers, Patrick ;
De Beule, Matthieu ;
de Jaegere, Peter ;
Mortier, Peter .
CIRCULATION-CARDIOVASCULAR INTERVENTIONS, 2018, 11 (02)
[48]   Importance of the left ventricular outflow tract in the need for pacemaker implantation after transcatheter aortic valve replacement [J].
Rodriguez-Olivares, Ramon ;
van Gils, Lennart ;
El Faquir, Nahid ;
Rahhab, Zouhair ;
Di Martino, Luigi F. M. ;
van Weenen, Sander ;
de Vries, John ;
Galema, Tjebbe W. ;
Geleijnse, Marcel L. ;
Budde, Ricardo P. J. ;
Boersma, Eric ;
de Jaegere, Peter P. ;
Van Mieghem, Nicolas M. .
INTERNATIONAL JOURNAL OF CARDIOLOGY, 2016, 216 :9-15
[49]   Incidence and Predictors of Atrioventricular Conduction Impairment After Transcatheter Aortic Valve Implantation [J].
Roten, Laurent ;
Wenaweser, Peter ;
Delacretaz, Etienne ;
Hellige, Gerrit ;
Stortecky, Stefan ;
Tanner, Hildegard ;
Pilgrim, Thomas ;
Kadner, Alexander ;
Eberle, Balthasar ;
Zwahlen, Marcel ;
Carrel, Thierry ;
Meier, Bernhard ;
Windecker, Stephan .
AMERICAN JOURNAL OF CARDIOLOGY, 2010, 106 (10) :1473-1480
[50]   Clinical impact of a new left bundle branch block following TAVI implantation: 1-year results of the TAVIK cohort [J].
Schymik, Gerhard ;
Tzamalis, Panagiotis ;
Bramlage, Peter ;
Heimeshoff, Martin ;
Wuerth, Alexander ;
Wondraschek, Rainer ;
Gonska, Bernd-Dieter ;
Posival, Herbert ;
Schmitt, Claus ;
Schroefel, Holger ;
Luik, Armin .
CLINICAL RESEARCH IN CARDIOLOGY, 2015, 104 (04) :351-362