Predicting need for pacemaker implantation early and late after transcatheter aortic valve implantation
Catheterization and Cardiovascular Interventions Mar 24, 2021
Mazzella AJ, Sanders M, Yang H, et al. - Researchers sought to determine links with either early or late permanent pacemaker (PPM) implantation following transcatheter aortic valve replacement (TAVR), to construct a readily interpretable management algorithm. This study involved 347 patents, of those, 43 (12.4%) received post‐TAVR PPM. Using multivariable analyses, links with post‐TAVR PPM because of high‐degree atrioventricular block (HAVB) were investigated. Factors identified to be related to early PPM were: bifascicular block, any pacing on first post‐TAVR ECG, and >15% valve oversizing, while right bundle branch block and history of atrial fibrillation/flutter were found to be related to late PPM. Experts recommend a management strategy for post‐TAVR surveillance as well as HAVB management.
-
Exclusive Write-ups & Webinars by KOLs
-
Daily Quiz by specialty
-
Paid Market Research Surveys
-
Case discussions, News & Journals' summaries