How to predict conduction disturbances after transcatheter aortic valve replacement

被引:4
作者
Novelli, Laura [1 ,2 ]
Jamie, Gulrays [1 ,2 ]
Regazzoli, Damiano [1 ]
Reimers, Bernhard [1 ]
Frontera, Antonio [1 ,2 ]
Mangieri, Antonio [1 ,3 ]
机构
[1] Humanitas Res Hosp IRCCS, Rozzano Milan, Italy
[2] Humanitas Univ, Dept Biomed Sci, Pieve Emanuele Milan, Italy
[3] Humanitas Res Hosp IRCCS, Via Alessandro Manzoni 56, I-20089 Rozzano Milan, Italy
关键词
conduction disturbances; left bundle branch block; permanent pacemaker implantation; right bundle branch block; transcatheter aortic valve implantation; BUNDLE-BRANCH BLOCK; PERMANENT PACEMAKER IMPLANTATION; DEGREE ATRIOVENTRICULAR-BLOCK; CLINICAL IMPACT; SEX-DIFFERENCES; RISK-FACTOR; BASE-LINE; STENOSIS; NEED; TAVI;
D O I
10.33963/KP.a2023.0039
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Transcatheter aortic valve replacement (TAVI) has evolved into the gold standard management option for high-risk patients with severe aortic stenosis. Despite identifying procedural, electrocardiographic, and clinical predictors of important post-procedural conduction disturbances (left bundle branch block and high-degree atrioventricular block) and despite continuous technological refinement of transcatheter aortic valves, the rate of post-procedural conduction disturbance remains high and challenging to manage. New strategies are required to reduce the overall rate of post-procedural permanent pacemaker implantations. In this article, we will review the incidence, predictive factors, and clinical implications of conduction disturbances after TAVI.
引用
收藏
页码:330 / 337
页数:8
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