Transcatheter aortic valve replacement performed with selective telemetry monitoring: A prospective study

Background Telemetry monitoring (TM) with or without intensive care unit (ICU) admission is the standard of after Transcatheter aortic valve replacement (TAVR). Regarding to improvements technique and procedural results, TM may be considered only in selected patients. We aimed confirm feasibility safety selective patients undergoing TAVR. Methods prospectively evaluated 449 consecutive Patients were transferred general cardiology ward (GCW) procedure when stable clinical state, transfemoral access, no baseline right bundle branch block (RBBB), left ventricular ejection fraction (LVEF) > 40%, complication including any electrocardiogram (ECG) change within 1 h (“low-risk” group). Others for ICU (“high-risk” The primary endpoint in-hospital major adverse events according VARC-2 criteria. Results mean age was 81.8 ± 7.5 years EuroSCORE II 4.8%. In total, 116 (25.8%) as “low-risk” 163 (36.3%) referred GCW, those immediate pacemaker implantation. A total 96 (21.3%) reached mainly conductive disorders (12.8%). No events, particularly late severe disorder, occurred group (negative predictive value 100%). Baseline RBBB (p < 0.01), LVEF 40% = 0.02) “high-risk” 0.01) outcomes. Conclusions Using rigorous periprocedural selection criteria, patients' GCW can routinely safely performed 1/3