Safety of a conservative strategy of permanent pacemaker implantation after transcatheter aortic CoreValve implantation

Background Conduction abnormalities are frequent after transcatheter aortic valve implantation with the CoreValve (Medtronic, Minneapolis, MN) and are often treated with liberal permanent pacemaker (PPM) implantation. Our aim was to assess the 1-year outcome of a conservative approach to pacing and...

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Veröffentlicht in:	The American heart journal 2012-03, Vol.163 (3), p.492-499
Hauptverfasser:	De Carlo, Marco, MD, PhD, Giannini, Cristina, MD, Bedogni, Francesco, MD, Klugmann, Silvio, MD, Brambilla, Nedy, MD, De Marco, Federico, MD, Zucchelli, Giulio, MD, Testa, Luca, MD, Oreglia, Jacopo, MD, Petronio, Anna Sonia, MD
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged Aortic Valve Stenosis - diagnosis Aortic Valve Stenosis - surgery Atrioventricular Block - etiology Atrioventricular Block - physiopathology Atrioventricular Block - therapy Biological and medical sciences Cardiac arrhythmia Cardiac Catheterization Cardiology Cardiology. Vascular system Cardiovascular Electrocardiography Female Follow-Up Studies Heart attacks Heart Conduction System - physiopathology Heart Rate Heart Valve Prosthesis Implantation - methods Hospitalization Humans Logistics Male Medical sciences Pacemaker, Artificial - standards Patients Postoperative Complications - prevention & control Practice Guidelines as Topic - standards Prospective Studies Prostheses Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) Software Treatment Outcome
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Zusammenfassung:	Background Conduction abnormalities are frequent after transcatheter aortic valve implantation with the CoreValve (Medtronic, Minneapolis, MN) and are often treated with liberal permanent pacemaker (PPM) implantation. Our aim was to assess the 1-year outcome of a conservative approach to pacing and to identify its predictors. Methods We analyzed 275 consecutive patients without a PPM before transcatheter aortic valve implantation who underwent successful CoreValve implantation at our 3 centers, sharing a conservative approach to pacing. Results Of the 47 patients (17.1%) who developed postprocedural complete atrioventricular block, 14 recovered spontaneous atrioventricular conduction
ISSN:	0002-8703 1097-6744
DOI:	10.1016/j.ahj.2011.12.009