Conduction Disturbances and Pacing in Transcatheter Aortic Valve Replacement

Makoto Nakashima; Hasan Jilaihawi

doi:10.1016/j.iccl.2021.05.003

Conduction Disturbances and Pacing in Transcatheter Aortic Valve Replacement

Interv Cardiol Clin. 2021 Oct;10(4):455-463. doi: 10.1016/j.iccl.2021.05.003.

Authors

Makoto Nakashima¹, Hasan Jilaihawi²

Affiliations

¹ Heart Valve Center, NYU Langone Health, 530 1st Avenue, Suite 9V, New York, NY 10016, USA.
² Heart Valve Center, NYU Langone Health, 530 1st Avenue, Suite 9V, New York, NY 10016, USA. Electronic address: hasanjilaihawi@gmail.com.

PMID: 34593109
DOI: 10.1016/j.iccl.2021.05.003

Abstract

Conduction disturbances (CDs) after transcatheter artic replacement remain a clinical concern and relatively common complication. A recent meta-analysis showed both new-onset persistent left bundle branch block and new permanent pacemaker implantation were related to all-cause death with risk ratio 1.32 (95% confidence interval [CI] 1.17 to 1.49; P<.001) and 1.17 (95% CI 1.11-1.25; P<.001) at 1 year, respectively. Preprocedural computed tomography imaging can highlight potential risk factors for CDs, such as membranous septum length, device landing zone calcium, and the annulus size/degree of device oversizing.

Keywords: Aortic stenosis; Complete heart block; Conduction disturbances; Cusp-overlap view; Membranous septum length; Minimizing depth according to the membranous septum (MIDAS) approach; Permanent pacemaker; Transcatheter aortic valve replacement.

Publication types

Research Support, Non-U.S. Gov't
Review

MeSH terms

Aortic Valve / diagnostic imaging
Aortic Valve / surgery
Aortic Valve Stenosis* / surgery
Cardiac Pacing, Artificial
Heart Valve Prosthesis*
Humans
Pacemaker, Artificial*
Transcatheter Aortic Valve Replacement*