Transcatheter aortic valve implantation with a mechanically expandable prosthesis: a learning experience for permanent pacemaker implantation rate reduction

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Transcatheter aortic valve implantation with a mechanically expandable prosthesis: a learning experience for permanent pacemaker implantation rate reduction

BACKGROUND Permanent pacemaker implantation (PPMI) after transcatheter aortic valve implantation (TAVI) remains an issue open for criticism. Aim of this study is to investigate a strategy to reduce PPMI rate after TAVI in general and more specifically after implantation of the LOTUS® prosthesis. METHODS Through our learning curve, we have developed a structured protocol to reduce PPMI rate. T...

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Reevaluation of the indications for permanent pacemaker implantation after transcatheter aortic valve implantation.

AIMS Conduction abnormalities (CA) requiring permanent pacemaker (PPM) are a well-known complication after transcatheter aortic valve implantation (TAVI). This study aimed to determine the incidence of TAVI-related PPM and reevaluate the indications for PPM after the periprocedural period. METHODS AND RESULTS A total of 258 consecutive patients underwent TAVI with the Medtronic CoreValve (MCV...

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The Conundrum of Permanent Pacemaker Implantation After Transcatheter Aortic Valve Implantation.

Transcatheter aortic valve implantation (TAVI) has matured into the preferred treatment modality for patients with severe aortic stenosis at extreme or high risk for conventional surgery and a valuable alternative for those at intermediate risk in view of similar or superior clinical outcomes and decreased rates of periprocedural adverse events. In this context, it remains unclear whether other...

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Intrinsic Atrioventricular Node Conduction Recovery After Transcatheter Aortic Valve Implantation and the Permanent Pacemaker Implantation Enigma

The prevalence of degenerative valvular diseases such as aortic stenosis has continued to rise due to an increase in the aging population globally [1, 2]. Transcatheter aortic valve implantation (TAVI) has emerged to the forefront of severe aortic stenosis treatment, starting with high-risk surgical patients [1, 2]. The minimally invasive approach of TAVI, as established from the promising resu...

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Impact of permanent pacemaker implantation on clinical outcome among patients undergoing transcatheter aortic valve implantation.

OBJECTIVES This study sought to assess the impact of permanent pacemaker (PPM) implantation on clinical outcomes among patients undergoing transfemoral transcatheter aortic valve implantation (TAVI). BACKGROUND TAVI is associated with atrioventricular-conduction abnormalities requiring PPM implantation in up to 40% among patients treated with self-expanding prostheses. METHODS Between 2007 ...

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ژورنال

عنوان ژورنال: European Journal of Medical Research

سال: 2018

ISSN: 2047-783X

DOI: 10.1186/s40001-018-0310-4