Evaluation and Management of Heart Block After Transcatheter Aortic Valve Replacement

Transcatheter aortic valve replacement (TAVR) has developed substantially since its inception. Improvements in valve design, valve deployment technologies, preprocedural imaging and increased operator experience have led to a gradual decline in length of hospitalisation after TAVR. Despite these adv...

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Autores principales:	Anthony J Mazzella, Sameer Arora, Michael J Hendrickson, Mason Sanders, John P Vavalle, Anil K Gehi
Formato:	article
Lenguaje:	EN
Publicado:	Radcliffe Medical Media 2021
Materias:	Diseases of the circulatory (Cardiovascular) system RC666-701
Acceso en línea:	https://doaj.org/article/3e4ba023ce234f00a1093567d5c97480
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spelling	oai:doaj.org-article:3e4ba023ce234f00a1093567d5c974802021-12-04T16:04:51ZEvaluation and Management of Heart Block After Transcatheter Aortic Valve Replacement10.15420/cfr.2021.052057-75592057-7540https://doaj.org/article/3e4ba023ce234f00a1093567d5c974802021-07-01T00:00:00Zhttps://www.cfrjournal.com/articleindex/cfr.2021.05https://doaj.org/toc/2057-7540https://doaj.org/toc/2057-7559Transcatheter aortic valve replacement (TAVR) has developed substantially since its inception. Improvements in valve design, valve deployment technologies, preprocedural imaging and increased operator experience have led to a gradual decline in length of hospitalisation after TAVR. Despite these advances, the need for permanent pacemaker implantation for post-TAVR high-degree atrioventricular block (HAVB) has persisted and has well-established risk factors which can be used to identify patients who are at high risk and advise them accordingly. While most HAVB occurs within 48 hours of the procedure, there is a growing number of patients developing HAVB after initial hospitalisation for TAVR due to the trend for early discharge from hospital. Several observation and management strategies have been proposed. This article reviews major known risk factors for HAVB after TAVR, discusses trends in the timing of HAVB after TAVR and reviews some management strategies for observing transient HAVB after TAVR.Anthony J MazzellaSameer AroraMichael J HendricksonMason SandersJohn P VavalleAnil K GehiRadcliffe Medical MediaarticleDiseases of the circulatory (Cardiovascular) systemRC666-701ENCardiac Failure Review , Vol 7, Iss , Pp - (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Diseases of the circulatory (Cardiovascular) system RC666-701
spellingShingle	Diseases of the circulatory (Cardiovascular) system RC666-701 Anthony J Mazzella Sameer Arora Michael J Hendrickson Mason Sanders John P Vavalle Anil K Gehi Evaluation and Management of Heart Block After Transcatheter Aortic Valve Replacement
description	Transcatheter aortic valve replacement (TAVR) has developed substantially since its inception. Improvements in valve design, valve deployment technologies, preprocedural imaging and increased operator experience have led to a gradual decline in length of hospitalisation after TAVR. Despite these advances, the need for permanent pacemaker implantation for post-TAVR high-degree atrioventricular block (HAVB) has persisted and has well-established risk factors which can be used to identify patients who are at high risk and advise them accordingly. While most HAVB occurs within 48 hours of the procedure, there is a growing number of patients developing HAVB after initial hospitalisation for TAVR due to the trend for early discharge from hospital. Several observation and management strategies have been proposed. This article reviews major known risk factors for HAVB after TAVR, discusses trends in the timing of HAVB after TAVR and reviews some management strategies for observing transient HAVB after TAVR.
format	article
author	Anthony J Mazzella Sameer Arora Michael J Hendrickson Mason Sanders John P Vavalle Anil K Gehi
author_facet	Anthony J Mazzella Sameer Arora Michael J Hendrickson Mason Sanders John P Vavalle Anil K Gehi
author_sort	Anthony J Mazzella
title	Evaluation and Management of Heart Block After Transcatheter Aortic Valve Replacement
title_short	Evaluation and Management of Heart Block After Transcatheter Aortic Valve Replacement
title_full	Evaluation and Management of Heart Block After Transcatheter Aortic Valve Replacement
title_fullStr	Evaluation and Management of Heart Block After Transcatheter Aortic Valve Replacement
title_full_unstemmed	Evaluation and Management of Heart Block After Transcatheter Aortic Valve Replacement
title_sort	evaluation and management of heart block after transcatheter aortic valve replacement
publisher	Radcliffe Medical Media
publishDate	2021
url	https://doaj.org/article/3e4ba023ce234f00a1093567d5c97480
work_keys_str_mv	AT anthonyjmazzella evaluationandmanagementofheartblockaftertranscatheteraorticvalvereplacement AT sameerarora evaluationandmanagementofheartblockaftertranscatheteraorticvalvereplacement AT michaeljhendrickson evaluationandmanagementofheartblockaftertranscatheteraorticvalvereplacement AT masonsanders evaluationandmanagementofheartblockaftertranscatheteraorticvalvereplacement AT johnpvavalle evaluationandmanagementofheartblockaftertranscatheteraorticvalvereplacement AT anilkgehi evaluationandmanagementofheartblockaftertranscatheteraorticvalvereplacement
_version_	1718372666626277376

Evaluation and Management of Heart Block After Transcatheter Aortic Valve Replacement

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