Transcatheter aortic valve replacement and cardiac conduction

被引:4
作者
Shreenivas, Satya [1 ]
Schloss, Edward [1 ]
Choo, Joseph [1 ]
Sarembock, Ian [1 ]
Lilly, Scott [2 ]
Kereiakes, Dean [1 ]
机构
[1] Christ Hosp, Heart & Vasc Ctr, Cincinnati, OH 45219 USA
[2] Ohio State Univ, Wexner Med Ctr, Div Cardiovasc Med, Columbus, OH 43210 USA
关键词
TAVR; pacemaker; high-grade atrioventricular block; complete heart block; left bundle branch block; right bundle branch block; PERMANENT PACEMAKER IMPLANTATION; SELF-EXPANDING BIOPROSTHESIS; COMPLETE HEART-BLOCK; LONG-TERM OUTCOMES; ATRIOVENTRICULAR-BLOCK; CLINICAL-OUTCOMES; ELDERLY-PATIENTS; TASK-FORCE; PREDICTORS; STENOSIS;
D O I
10.1080/14779072.2019.1598264
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Introduction: Conduction abnormalities after transcatheter aortic valve replacement (TAVR) account for a high percentage of post-TAVR complications. Areas covered: The etiology of conduction abnormalities is closely tied to cardiac anatomy (length of membranous septum, degree of calcification, location of left bundle within the membranous septum), baseline conduction abnormalities (preprocedure right bundle branch block), and procedural variables (type of valve, depth of implant). Management of new high-grade AV block and new left bundle branch block varies by institution in the absence of consensus guidelines. Expert opinion: Authors describe the incidence, etiology, outcomes, and management of conduction abnormalities related to aortic stenosis and TAVR.
引用
收藏
页码:293 / 304
页数:12
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