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[Conduction disorders after transcatheter aortic valve implantation: incidence, characteristics, and clinical management].
- Source :
-
Giornale italiano di cardiologia (2006) [G Ital Cardiol (Rome)] 2024 Aug; Vol. 25 (8), pp. 567-575. - Publication Year :
- 2024
-
Abstract
- Transcatheter aortic valve implantation may be complicated by the development of conduction disturbances, including left bundle branch block and high-grade atrioventricular blocks, especially in patients with predisposing risk factors, such as pre-existing right bundle branch block. Permanent pacemaker implantation is a procedure with potential short- and long-term complications, and it should be reserved to patients with appropriate indications. Electrophysiological testing and/or prolonged ambulatory ECG monitoring are valuable tools for stratifying the risk of pacemaker implantation. However, the management of new-onset conduction disorders is not always straightforward, and there are different approaches depending on the center's attitude. Therefore, the purpose of this review is to define clinical management based on current evidence, while awaiting data from randomized trials.
- Subjects :
- Humans
Incidence
Risk Factors
Postoperative Complications epidemiology
Postoperative Complications etiology
Pacemaker, Artificial adverse effects
Bundle-Branch Block etiology
Bundle-Branch Block therapy
Bundle-Branch Block epidemiology
Aortic Valve Stenosis surgery
Atrioventricular Block therapy
Atrioventricular Block etiology
Atrioventricular Block epidemiology
Transcatheter Aortic Valve Replacement adverse effects
Subjects
Details
- Language :
- Italian
- ISSN :
- 1972-6481
- Volume :
- 25
- Issue :
- 8
- Database :
- MEDLINE
- Journal :
- Giornale italiano di cardiologia (2006)
- Publication Type :
- Academic Journal
- Accession number :
- 39072595
- Full Text :
- https://doi.org/10.1714/4309.42926