Atrioventricular and intraventricular block after transcatheter aortic valve implantation

J Interv Card Electrophysiol. 2018 Aug;52(3):315-322. doi: 10.1007/s10840-018-0391-6. Epub 2018 Jun 24.

Abstract

Aortic stenosis is the most common valvular heart disease in industrialized countries and the most common cause of left ventricular outflow tract (LVOT) obstruction. Transcatheter aortic valve replacement (TAVR) is an alternative to surgical aortic valve replacement for intermediate to high-risk surgical candidates with symptomatic severe aortic stenosis. Conduction system abnormalities, including atrioventricular (AV) and intraventricular (IV) block, are the most common complication of TAVR. In this review, we aim to explore the anatomical issues relevant to atrioventricular block, the relevant clinical and procedural aspects, and the management and long-term implications of AV and IV block.

Keywords: Atrioventricular block; Intraventricular block; Pacemaker implantation; Transcatheter aortic valve implantation.

Publication types

  • Review

MeSH terms

  • Animals
  • Aortic Valve Stenosis / diagnostic imaging
  • Aortic Valve Stenosis / surgery*
  • Atrioventricular Block / diagnostic imaging
  • Atrioventricular Block / etiology
  • Atrioventricular Block / mortality
  • Atrioventricular Block / therapy*
  • Bundle-Branch Block / diagnostic imaging
  • Bundle-Branch Block / etiology
  • Bundle-Branch Block / mortality
  • Bundle-Branch Block / therapy*
  • Cardiac Pacing, Artificial / methods*
  • Echocardiography, Doppler / methods
  • Electrocardiography / methods
  • Humans
  • Postoperative Complications / diagnostic imaging
  • Postoperative Complications / therapy
  • Prognosis
  • Risk Assessment
  • Survival Rate
  • Transcatheter Aortic Valve Replacement / ethics*
  • Transcatheter Aortic Valve Replacement / methods
  • Treatment Outcome