Association between implantation depth assessed by computed tomography and new-onset conduction disturbances after transcatheter aortic valve implantation

被引：17

作者：

Almeida, Joao Goncalves ^{[1
]}

Ferreira, Sara Moura ^{[2
]}

Fonseca, Paulo ^{[1
]}

Dias, Tiago ^{[1
]}

Guerreiro, Claudio ^{[1
]}

Barbosa, Ana Raquel ^{[1
]}

Teixeira, Pedro ^{[1
]}

Carvalho, Monica ^{[1
]}

Ferreira, Wilson ^{[1
]}

Ferreira, Nuno Dias ^{[1
]}

Oliveira, Marco ^{[1
]}

Goncalves, Helena ^{[1
]}

Braga, Pedro ^{[1
]}

Ribeiro, Jose ^{[1
]}

Primo, Joao ^{[1
]}

Ribeiro, Vasco Gama ^{[1
]}

机构：

[1] Gaia Espinho Hosp Ctr, Dept Cardiol, Rua Conceicao Fernandes, P-4434502 Vila Nova De Gaia, Portugal

[2] Divino Espirito Santo Hosp, Dept Cardiol, Ponta Delgada, Portugal

来源：

JOURNAL OF CARDIOVASCULAR COMPUTED TOMOGRAPHY | 2017年 / 11卷 / 05期

关键词：

Computed tomography; Bundle-branch block; Heart valve prosthesis; BUNDLE-BRANCH BLOCK; PERMANENT PACEMAKER IMPLANTATION; COREVALVE REVALVING SYSTEM; STENT-FRAME EXPANSION; REPLACEMENT; IMPACT; BIOPROSTHESIS; OUTCOMES; ABNORMALITIES; REGURGITATION;

D O I：

10.1016/j.jcct.2017.08.003

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Background: Transcatheter aortic valve replacement (TAVR) is often associated with intraventricular conduction disturbances. We aimed to determine the association between implantation depth assessed by multidetector computed tomography (MDCT) and new-onset conduction abnormalities after TAVR. Methods: Retrospective single-center study including patients consecutively submitted to TAVR, between August/2007 and October/2016, who underwent routine MDCT 3 months after the procedure. The endpoint of conduction disturbances included permanent pacemaker implantation and/or new-onset left bundle-branch block. Implantation depth was determined as the distance between the ventricular end of the prothesis and the native ring, at the level of the non-coronary cusp. Results: 138 patients were included (female gender 52.2%, mean age 78.7 +/- 6.9 years). The EuroSCORE II was 4.0 +/- 3.9% and 57.2% were treated with self-expanding prosthesis. The endpoint of conduction abnormalities was found in 45.7% (n = 63). The implantation depth was greater in the group with conduction disturbances (7.7 vs 6.4 mm, p = 0.006). Chronic obstructive pulmonary disease, oversizing and implantation depth were independent predictors of conduction abnormalities. Implantation depth had an AUC of 0.64 (p = 0.004) for the prediction of conduction abnormalities and a cut-off value of 7.1 mm predicted the composed endpoint with a sensitivity and specificity of 65% and 70%, respectively. Conclusions: Implantation depth assessed by MDCT is associated with new-onset conduction disturbances after TAVR. In patients with conduction abnormalities, which do not qualify for the immediate implantation of pacemaker, the assessment of implantation depth by MDCT may be an additional marker of risk to aid decision-making. (C) 2017 Society of Cardiovascular Computed Tomography. Published by Elsevier Inc. All rights reserved.

引用

页码：332 / 337

页数：6

共 30 条

[1] The Prognostic Impact of New-Onset Persistent Left Bundle Branch Block Following Transcatheter Aortic Valve Implantation: A Meta-analysis [J].

Ando, Tomo ;

Takagi, Hisato .

CLINICAL CARDIOLOGY, 2016, 39 (09) :544-550

[2] Permanent pacemaker implantation following isolated aortic valve replacement in a large cohort of elderly patients with severe aortic stenosis [J].

Bagur, Rodrigo ;

Manazzoni, Juan Maria ;

Dumont, Eric ;

Doyle, Daniel ;

Perron, Jean ;

Dagenais, Francois ;

Mathieu, Patrick ;

Baillot, Richard ;

Charbonneau, Eric ;

Metras, Jacques ;

Mohammadi, Siamak ;

Cote, Melanie ;

Philippon, Francois ;

Voisine, Pierre ;

Rodes-Cabau, Josep .

HEART, 2011, 97 (20) :1687-1694

[3] Early discharge after transfemoral transcatheter aortic valve implantation [J].

Barbanti, Marco ;

Capranzano, Piera ;

Ohno, Yohei ;

Attizzani, Guilherme F. ;

Gulino, Simona ;

Imme, Sebastiano ;

Cannata, Stefano ;

Aruta, Patrizia ;

Bottari, Vera ;

Patane, Martina ;

Tamburino, Claudia ;

Di Stefano, Daniele ;

Deste, Wanda ;

Giannazzo, Daniela ;

Gargiulo, Giuseppe ;

Caruso, Giuseppe ;

Sgroi, Carmelo ;

Todaro, Denise ;

di Simone, Emanuela ;

Capodanno, Davide ;

Tamburino, Corrado .

HEART, 2015, 101 (18) :1485-1490

[4] Impact of Post-Implant SAPIEN XT Geometry and Position on Conduction Disturbances, Hemodynamic Performance, and Paravalvular Regurgitation [J].

Binder, Ronald K. ;

Webb, John G. ;

Toggweiler, Stefan ;

Freeman, Melanie ;

Barbanti, Marco ;

Willson, Alexander B. ;

Alhassan, Donya ;

Hague, Cameron J. ;

Wood, David A. ;

Leipsic, Jonathon .

JACC-CARDIOVASCULAR INTERVENTIONS, 2013, 6 (05) :462-468

[5] 2013 ESC Guidelines on cardiac pacing and cardiac resynchronization therapy [J].

Brignole, Michele ;

Auricchio, Angelo ;

Baron-Esquivias, Gonzalo ;

Bordachar, Pierre ;

Boriani, Giuseppe ;

Breithardt, Ole-A ;

Cleland, John ;

Deharo, Jean-Claude ;

Delgado, Victoria ;

Elliott, Perry M. ;

Gorenek, Bulent ;

Israel, Carsten W. ;

Leclercq, Christophe ;

Linde, Cecilia ;

Mont, Llus ;

Padeletti, Luigi ;

Sutton, Richard ;

Vardas, Panos E. ;

Zamorano, Jose Luis ;

Achenbach, Stephan ;

Baumgartner, Helmut ;

Bax, Jeroen J. ;

Bueno, Hctor ;

Dean, Veronica ;

Deaton, Christi ;

Erol, Cetin ;

Fagard, Robert ;

Ferrari, Roberto ;

Hasdai, David ;

Hoes, Arno W. ;

Kirchhof, Paulus ;

Knuuti, Juhani ;

Kolh, Philippe ;

Lancellotti, Patrizio ;

Linhart, Ales ;

Nihoyannopoulos, Petros ;

Piepoli, Massimo F. ;

Ponikowski, Piotr ;

Sirnes, Per Anton ;

Tamargo, Juan Luis ;

Tendera, Michal ;

Torbicki, Adam ;

Wijns, William ;

Windecker, Stephan ;

Kirchhof, Paulus ;

Blomstrom-Lundqvist, Carina ;

Badano, Luigi P. ;

Aliyev, Farid ;

Bnsch, Dietmar ;

Baumgartner, Helmut .

EUROPACE, 2013, 15 (08) :1070-1118

[6] Evaluation of Multislice Computed Tomography Early After Transcatheter Aortic Valve Implantation With the Edwards SAPIEN Bioprosthesis [J].

Caudron, Jerome ;

Fares, Jeannette ;

Hauville, Camille ;

Cribier, Alain ;

Dacher, Jean-Nicolas ;

Tron, Christophe ;

Bauer, Fabrice ;

Litzler, Pierre-Yves ;

Bessou, Jean-Paul ;

Eltchaninoff, Helene .

AMERICAN JOURNAL OF CARDIOLOGY, 2011, 108 (06) :873-881

[7] Chronic pacing and adverse outcomes after transcatheter aortic valve implantation [J].

Dizon, Jose' M. ;

Nazif, Tamim M. ;

Hess, Paul L. ;

Biviano, Angelo ;

Garan, Hasan ;

Douglas, Pamela S. ;

Kapadia, Samir ;

Babaliaros, Vasilis ;

Herrmann, Howard C. ;

Szeto, Wilson Y. ;

Jilaihawi, Hasan ;

Fearon, William F. ;

Tuzcu, E. Murat ;

Pichard, Augusto D. ;

Makkar, Raj ;

Williams, Mathew ;

Hahn, Rebecca T. ;

Xu, Ke ;

Smith, Craig R. ;

Leon, Martin B. ;

Kodali, Susheel K. .

HEART, 2015, 101 (20) :1665-1671

[8] Location and Severity of Aortic Valve Calcium and Implications for Aortic Regurgitation After Transcatheter Aortic Valve Implantation [J].

Ewe, See Hooi ;

Ng, Arnold C. T. ;

Schuijf, Joanne D. ;

van der Kley, Frank ;

Colli, Andrea ;

Palmen, Meindert ;

de Weger, Arend ;

Marsan, Nina Ajmone ;

Holman, Eduard R. ;

de Roos, Albert ;

Schalij, Martin J. ;

Bax, Jeroen J. ;

Delgado, Victoria .

AMERICAN JOURNAL OF CARDIOLOGY, 2011, 108 (10) :1470-1477

[9] Predictors and Course of High-Degree Atrioventricular Block After Transcatheter Aortic Valve Implantation Using the CoreValve Revalving system [J].

Guetta, Victor ;

Goldenberg, Gustavo ;

Segev, Amit ;

Dvir, Danny ;

Kornowski, Ran ;

Finckelstein, Arik ;

Hay, Ilan ;

Goldenberg, Ilan ;

Glikson, Michael .

AMERICAN JOURNAL OF CARDIOLOGY, 2011, 108 (11) :1600-1605

[10] Occurrence, fate and consequences of ventricular conduction abnormalities after transcatheter aortic valve implantation [J].

Houthuizen, Patrick ;

van der Boon, Robert M. A. ;

Urena, M. ;

Van Mieghem, N. ;

Brueren, Guus B. R. ;

Poels, Thomas T. ;

Van Garsse, Leen A. F. M. ;

Rodes-Cabau, Josep ;

Prinzen, Frits W. ;

de Jaegere, Peter .

EUROINTERVENTION, 2014, 9 (10) :1142-1150

← 1 2 3 →