Evaluation and Management of Heart Block After Transcatheter Aortic Valve Replacement

被引：8

作者：

Mazzella, Anthony J. ^{[1
]}

Arora, Sameer ^{[1
]}

Hendrickson, Michael J. ^{[2
]}

Sanders, Mason ^{[3
]}

Vavalle, John P. ^{[1
]}

Gehi, Anil K. ^{[1
,4
]}

机构：

[1] Univ North Carolina Hosp, Dept Med, Div Cardiol, Chapel Hill, NC USA

[2] Univ N Carolina, Sch Med, Chapel Hill, NC USA

[3] Univ North Carolina Hosp, Dept Med, Chapel Hill, NC USA

[4] Univ North Carolina Hosp, Dept Med, Div Cardiol, CB 7075,6025 Burnett Womack Bldg,160 Dent Circle, Chapel Hill, NC 27599 USA

来源：

CARDIAC FAILURE REVIEW | 2021年 / 7卷

关键词：

Transcatheter aortic valve replacement; pacemaker; heart block; atrial fibrillation; ambulatory monitoring; temporary pacing; PERMANENT PACEMAKER IMPLANTATION; BUNDLE-BRANCH BLOCK; THORACIC SURGEONS/AMERICAN COLLEGE; CONDUCTION DISTURBANCES; ATRIOVENTRICULAR-BLOCK; CLINICAL IMPACT; PREDICTORS; RISK; OUTCOMES; NEED;

D O I：

10.15420/cfr.2021.05

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Transcatheter aortic valve replacement (TAVR) has developed substantially since its inception. Improvements in valve design, valve deployment technologies, preprocedural imaging and increased operator experience have led to a gradual decline in length of hospitalisation after TAVR. Despite these advances, the need for permanent pacemaker implantation for post-TAVR high-degree atrioventricular block (HAVB) has persisted and has well-established risk factors which can be used to identify patients who are at high risk and advise them accordingly. While most HAVB occurs within 48 hours of the procedure, there is a growing number of patients developing HAVB after initial hospitalisation for TAVR due to the trend for early discharge from hospital. Several observation and management strategies have been proposed. This article reviews major known risk factors for HAVB after TAVR, discusses trends in the timing of HAVB after TAVR and reviews some management strategies for observing transient HAVB after TAVR.

引用

页数：6

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