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Influence of permanent pacemaker implantation after transcatheter aortic valve implantation with new-generation devices
- Source :
- Netherlands Heart Journal
- Publication Year :
- 2018
- Publisher :
- Springer Science and Business Media LLC, 2018.
-
Abstract
- Objective Permanent pacemaker implantation (PPMI) after transcatheter aortic valve implantation (TAVI) is the most common complication after the procedure. PPMI rates remain high with the new-generation TAVI devices despite improved outcomes concerning paravalvular aortic regurgitation and vascular access complications. However, the impact of PPMI on mortality and clinical outcome is still a matter of debate, and data with new-generation devices on this matter are scarce. Therefore, we sought to analyse the influence of PPMI in patients treated with the new-generation devices on one-year outcome. Methods We enrolled 612 consecutive patients without prior pacemaker undergoing transfemoral TAVI with the new-generation devices. Patients with or without PPMI were compared with respect to clinical outcome within one year. Results PPMI was performed in 168 patients (24.4% of the overall study population). There was no significant difference in one-year outcome concerning all-cause mortality (PPMI vs. no-PPMI: 12.2% vs. 12.5%, p = 0.94), rate of major adverse events including cardiac, cerebral or valve-related events and bleeding complications (22.1% vs. 24.5%, p = 0.55) or need for rehospitalisation due to cardiac symptoms (16.1% vs. 18.1%, p = 0.63). In patients with reduced ejection fraction (
- Subjects :
- Transcatheter aortic valve implantation
medicine.medical_specialty
education.field_of_study
Ejection fraction
Transcatheter aortic
business.industry
Population
Odds ratio
030204 cardiovascular system & hematology
Confidence interval
03 medical and health sciences
0302 clinical medicine
Internal medicine
Cardiology
Medicine
Original Article
030212 general & internal medicine
Mortality
Permanent pacemaker
Cardiology and Cardiovascular Medicine
business
Adverse effect
education
Complication
Permanent pacemaker implantation
Subjects
Details
- ISSN :
- 18766250 and 15685888
- Volume :
- 26
- Database :
- OpenAIRE
- Journal :
- Netherlands Heart Journal
- Accession number :
- edsair.doi.dedup.....954dbf9ec23703933058ea8cc6623612