Permanent Pacemaker Implantation Following Valve-in-Valve Transcatheter Aortic Valve Replacement

被引：26

作者：

Alperi, Alberto ^{[1
]}

Rodes-Cabau, Josep ^{[1
,2
]}

Simonato, Matheus ^{[3
,4
,5
]}

Tchetche, Didier ^{[6
]}

Charbonnier, Gaetan ^{[6
]}

Ribeiro, Henrique B. ^{[7
]}

Latib, Azeem ^{[8
]}

Montorfano, Matteo ^{[9
]}

Barbanti, Marco ^{[10
]}

Bleiziffer, Sabine ^{[11
]}

Redfors, Bjorn ^{[3
,12
,13
]}

Abdel-Wahab, Mohamed ^{[14
]}

Allali, Abdelhakim ^{[15
]}

Bruschi, Giuseppe ^{[16
]}

Napodano, Massimo ^{[17
]}

Agrifoglio, Marco ^{[18
]}

Petronio, Anna Sonia ^{[19
]}

Giannini, Cristina ^{[19
]}

Chan, Albert ^{[20
]}

Kornowski, Ran ^{[21
]}

Pravda, Nili Schamroth ^{[21
]}

Adam, Matti ^{[22
]}

Iadanza, Alessandro ^{[23
]}

Noble, Stephane ^{[24
]}

Chatfield, Andrew ^{[25
]}

Erlebach, Magdalena ^{[26
]}

Kempfert, Joerg ^{[27
]}

Ubben, Timm ^{[28
]}

Wijeysundera, Harindra ^{[29
]}

Seiffert, Moritz ^{[30
]}

Pilgrim, Thomas ^{[31
]}

Kim, Won-Keun ^{[32
]}

Testa, Luca ^{[33
]}

Hildick-Smith, David ^{[34
]}

Nerla, Roberto ^{[35
]}

Fiorina, Claudia ^{[36
]}

Brinkmann, Christina ^{[37
]}

Conzelmann, Lars ^{[38
]}

Champagnac, Didier ^{[39
]}

Saia, Francesco ^{[40
]}

Nissen, Henrik ^{[41
]}

Amrane, Hafid ^{[42
]}

Whisenant, Brian ^{[43
]}

Shamekhi, Jasmin ^{[44
]}

Sondergaard, Lars ^{[45
]}

Webb, John G. ^{[25
]}

Dvir, Danny ^{[46
,47
]}

机构：

[1] Laval Univ, Quebec Heart & Lung Inst, Quebec City, PQ, Canada

[2] Hosp Clin Barcelona, Barcelona, Spain

[3] Cardiovasc Res Fdn, New York, NY USA

[4] Escola Paulista Med, Sao Paulo, Brazil

[5] Yale Univ, Yale Sch Med, New Haven, CT USA

[6] Clin Pasteur, Toulouse, France

[7] Univ Sao Paulo, Inst Coracao, Fac Med, Sao Paulo, Brazil

[8] Montefiore Med Ctr, New York, NY USA

[9] Ist Sci San Raffaele, Ist Ricovero & Cura Carattere Sci, Milan, Italy

[10] Univ Catania, Catania, Italy

[11] Herz & Diabeteszentrum Nordrhein Westfalen, Bad Oeynhausen, Germany

[12] Columbia Univ, NewYork Presbyterian Hosp, Irving Med Ctr, New York, NY USA

[13] Sahlgrens Univ Hosp, Gothenburg, Sweden

[14] Univ Leipzig, Heart Ctr Leipzig, Leipzig, Germany

[15] Segeberger Kliniken, Bad Segeberg, Germany

[16] Osped Niguarda Ca Granda, Milan, Italy

[17] Univ Padua, Padua, Italy

[18] Ctr Cardiol Monzino, Milan, Italy

[19] Univ Pisa, Pisa, Italy

[20] Royal Columbian Hosp, New Westminster, BC, Canada

[21] Rabin Med Ctr, Petah Tiqwa, Israel

[22] Uniklin Koln, Cologne, Germany

[23] Azienda Osped Univ Senese, Siena, Italy

[24] Hop Univ Geneve, Geneva, Switzerland

[25] St Pauls Hosp, Vancouver, BC, Canada

[26] Deutsch Herzzentrum Munich, Munich, Germany

[27] Deutsch Herzzentrum Berlin, Berlin, Germany

[28] Asklepios Klin St Georg, Hamburg, Germany

[29] Sunnybrook Hlth Sci Ctr, Toronto, ON, Canada

[30] Univ Klinikum Hamburg Eppendorf, Hamburg, Germany

[31] Univ Spital Bern, Bern, Switzerland

[32] Kerckhoff Klin, Bad Nauheim, Germany

[33] Ist Ricovero Cura Carattere Sci, Policlin San Donato, Milan, Italy

[34] Sussex Cardiac Ctr, Brighton, E Sussex, England

[35] Maria Cecilia Hosp, GVM Care & Res, Cotignola, Italy

[36] Spedali Civili Brescia, Brescia, Italy

[37] Med Versorgungszentrum, Hamburg, Germany

[38] Helios Klin Herzchirurg Karlsruhe, Karlsruhe, Germany

[39] Medipole Hop Prive, Villeurbanne, France

[40] Univ Bologna, Policlin S OrsolaMalpighi, Bologna, Italy

[41] Odense Univ Hosp, Odense, Denmark

[42] Med Ctr Leeuwarden, Leeuwarden, Netherlands

[43] Intermt Heart Inst, Murray, UT USA

[44] Univ Klinikum Bonn, Bonn, Germany

[45] Rigshospitalet, Copenhagen, Denmark

[46] Univ Washington, Seattle, WA 98195 USA

[47] Hebrew Univ Jerusalem, Jesselson Integrated Heart Ctr, Shaare Zedek Med Ctr, Jerusalem, Israel

来源：

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY | 2021年 / 77卷 / 18期

关键词：

pacemaker; transcatheter; aortic valve replacement; valve in valve; SELF-EXPANDABLE VALVES; CONDUCTION DISTURBANCES; CLINICAL-OUTCOMES; RISK; PREDICTORS; STENOSIS; IMPACT; BIOPROSTHESIS; DEPTH;

D O I：

10.1016/j.jacc.2021.03.228

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

BACKGROUND Permanent pacemaker implantation (PPI) remains one of the main drawbacks of transcatheter aortic valve replacement (TAVR), but scarce data exist on PPI after valve-in-valve (ViV) TAVR, particularly with the use of newer-generation transcatheter heart valves (THVs). OBJECTIVES The goal of this study was to determine the incidence, factors associated with, and clinical impact of PPI in a large series of ViV-TAVR procedures. METHODS Data were obtained from the multicenter VIVID Registry and included the main baseline and procedural characteristics, in-hospital and late (median follow-up: 13 months [interquartile range: 3 to 41 months]) outcomes analyzed according to the need of periprocedural PPI. All THVs except CoreValve, Cribier-Edwards, Sapien, and Sapien XT were considered to be new-generation THVs. RESULTS A total of 1,987 patients without prior PPI undergoing ViV-TAVR from 2007 to 2020 were included. Of these, 128 patients (6.4%) had PPI after TAVR, with a significant decrease in the incidence of PPI with the use of new-generation THVs (4.7% vs. 7.4%; p = 0.017), mainly related to a reduced PPI rate with the Evolut R/Pro versus CoreValve (3.7% vs. 9.0%; p = 0.002). There were no significant differences in PPI rates between newer-generation balloon-and self expanding THVs (6.1% vs. 3.9%; p = 0.18). In the multivariable analysis, older age (odds ratio [OR]: 1.05 for each increase of 1 year; 95% confidence interval [CI]: 1.02 to 1.07; p = 0.001), larger THV size (OR: 1.10; 95% CI: 1.01 to 1.20; p = 0.02), and previous right bundle branch block (OR: 2.04; 95% CI: 1.00 to 4.17; p = 0.05) were associated with an increased risk of PPI. There were no differences in 30-day mortality between the PPI (4.7%) and no-PPI (2.7%) groups (p = 0.19), but PPI patients exhibited a trend toward higher mortality risk at follow-up (hazard ratio: 1.39; 95% CI: 1.02 to 1.91; p = 0.04; p = 0.08 after adjusting for age differences between groups). CONCLUSIONS In a contemporary large series of ViV-TAVR patients, the rate of periprocedural PPI was relatively low, and its incidence decreased with the use of new-generation THV systems. PPI following ViV-TAVR was associated with a trend toward increased mortality at follow-up. (J Am Coll Cardiol 2021;77:2263-73) (c) 2021 by the American College of Cardiology Foundation.

引用

页码：2263 / 2273

页数：11

共 39 条

[1] 1-Year Outcomes After Transcatheter Aortic Valve Replacement With Balloon-Expandable Versus Self-Expandable Valves Results From the CHOICE Randomized Clinical Trial [J].

Abdel-Wahab, Mohamed ;

Neumann, Franz-Josef ;

Mehilli, Julinda ;

Frerker, Christian ;

Richardt, Doreen ;

Landt, Martin ;

Jose, John ;

Toelg, Ralph ;

Kuck, Karl-Heinz ;

Massberg, Steffen ;

Robinson, Derek R. ;

El-Mawardy, Mohamed ;

Richardt, Gert .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2015, 66 (07) :791-800

[2] Comparison of Balloon-Expandable vs Self-expandable Valves in Patients Undergoing Transcatheter Aortic Valve Replacement The CHOICE Randomized Clinical Trial [J].

Abdel-Wahab, Mohamed ;

Mehilli, Julinda ;

Frerker, Christian ;

Neumann, Franz-Josef ;

Kurz, Thomas ;

Toelg, Ralph ;

Zachow, Dirk ;

Guerra, Elena ;

Massberg, Steffen ;

Schaefer, Ulrich ;

El-Mawardy, Mohamed ;

Richardt, Gert .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2014, 311 (15) :1503-1514

[3] Conduction Disturbances After Transcatheter Aortic Valve Replacement Current Status and Future Perspectives [J].

Auffret, Vincent ;

Puri, Rishi ;

Urena, Marina ;

Chamandi, Chekrallah ;

Rodriguez-Gabella, Tania ;

Philippon, Francois ;

Rodes-Cabau, Josep .

CIRCULATION, 2017, 136 (11) :1049-+

[4] Temporal Trends in Transcatheter Aortic Valve Replacement in France FRANCE 2 to FRANCE TAVI [J].

Auffret, Vincent ;

Lefevre, Thierry ;

Van Belle, Eric ;

Eltchaninoff, Helene ;

Iung, Bernard ;

Koning, Rene ;

Motreff, Pascal ;

Leprince, Pascal ;

Verhoye, Jean Philippe ;

Manigold, Thibaut ;

Souteyrand, Geraud ;

Boulmier, Dominique ;

Joly, Patrick ;

Pinaud, Frederic ;

Himbert, Dominique ;

Collet, Jean Philippe ;

Rioufol, Gilles ;

Ghostine, Said ;

Bar, Olivier ;

Dibie, Alain ;

Champagnac, Didier ;

Leroux, Lionel ;

Collet, Frederic ;

Teiger, Emmanuel ;

Darremont, Olivier ;

Folliguet, Thierry ;

Leclercq, Florence ;

Lhermusier, Thibault ;

Olhmann, Patrick ;

Huret, Bruno ;

Lorgis, Luc ;

Drogoul, Laurent ;

Bertrand, Bernard ;

Spaulding, Christian ;

Quilliet, Laurent ;

Cuisset, Thomas ;

Delomez, Maxence ;

Beygui, Farzin ;

Claudel, Jean-Philippe ;

Hepp, Alain ;

Jegou, Arnaud ;

Gommeaux, Antoine ;

Mirode, Anfani ;

Christiaens, Luc ;

Christophe, Charles ;

Cassat, Claude ;

Metz, Damien ;

Mangin, Lionel ;

Isaaz, Karl ;

Jacquemin, Laurent .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2017, 70 (01) :42-55

[5] Effect of Valve Design on the Stent Internal Diameter of a Bioprosthetic Valve A Concept of True Internal Diameter and Its Implications for the Valve-in-Valve Procedure [J].

Bapat, Vinayak N. ;

Attia, Rizwan ;

Thomas, Martyn .

JACC-CARDIOVASCULAR INTERVENTIONS, 2014, 7 (02) :115-127

[6] Transcatheter aortic valve replacement with new-generation devices: A systematic review and meta-analysis [J].

Barbanti, Marco ;

Buccheri, Sergio ;

Rodes-Cabau, Josep ;

Gulino, Simona ;

Genereux, Philippe ;

Pilato, Gerlando ;

Dvir, Danny ;

Picci, Andrea ;

Costa, Giuliano ;

Tamburino, Corrado ;

Leon, Martin B. ;

Webb, John G. .

INTERNATIONAL JOURNAL OF CARDIOLOGY, 2017, 245 :83-89

[7]

Baumgartner H, 2017, J AM SOC ECHOCARDIOG, V30, P372, DOI [10.1016/j.echo.2017.02.009, 10.1093/ehjci/jew335]

[8] Long-term outcomes after transcatheter aortic valve implantation in failed bioprosthetic valves [J].

Bleiziffer, Sabine ;

Simonato, Matheus ;

Webb, John G. ;

Rodes-Cabau, Josep ;

Pibarot, Philippe ;

Kornowski, Ran ;

Windecker, Stephan ;

Erlebach, Magdalena ;

Duncan, Alison ;

Seiffert, Moritz ;

Unbehaun, Axel ;

Frerker, Christian ;

Conzelmann, Lars ;

Wijeysundera, Harindra ;

Kim, Won-Keun ;

Montorfano, Matteo ;

Latib, Azeem ;

Tchetche, Didier ;

Allali, Abdelhakim ;

Abdel-Wahab, Mohamed ;

Orvin, Katia ;

Stortecky, Stefan ;

Nissen, Henrik ;

Holzamer, Andreas ;

Urena, Marina ;

Testa, Luca ;

Agrifoglio, Marco ;

Whisenant, Brian ;

Sathananthan, Janarthanan ;

Napodano, Massimo ;

Landi, Antonio ;

Fiorina, Claudia ;

Zittermann, Armin ;

Veulemans, Verena ;

Sinning, Jan-Malte ;

Saia, Francesco ;

Brecker, Stephen ;

Presbitero, Patrizia ;

De Backer, Ole ;

Sondergaard, Lars ;

Bruschi, Giuseppe ;

Franco, Luis Nombela ;

Petronio, Anna Sonia ;

Barbanti, Marco ;

Cerillo, Alfredo ;

Spargias, Konstantinos ;

Schofer, Joachim ;

Cohen, Mauricio ;

Munoz-Garcia, Antonio ;

Finkelstein, Ariel .

EUROPEAN HEART JOURNAL, 2020, 41 (29) :2731-2742

[9]

Dalgaard F, 2020, OPEN HEART, V7

[10] Transcatheter aortic valve replacement: relative safety and efficacy of the procedure with different devices [J].

del Val, David ;

Ferreira-Neto, Alfredo Nunes ;

Asmarats, Lluis ;

Maes, Frederic ;

Guimaraes, Leonardo ;

Junquera, Lucia ;

Wintzer, Jerome ;

Fischer, Quentin ;

Ferraz, Afonso Barroso de Freitas ;

Puri, Rishi ;

Rodes-Cabau, Josep .

EXPERT REVIEW OF MEDICAL DEVICES, 2019, 16 (01) :11-24

← 1 2 3 4 →