Conduction Abnormalities After Transcatheter Aortic Valve Replacement

Transcatheter aortic valve replacement (TAVR) has been established as a therapeutic option for patients with severe symptomatic aortic stenosis who are of intermediate or higher surgical risk. Several periprocedural complications are reduced with newer transcatheter heart valve generations; however,...

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Autores principales: Somsupha Kanjanauthai, Kabir Bhasin, Luigi Pirelli, Chad A Kliger
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Lenguaje:EN
Publicado: Radcliffe Medical Media 2019
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Acceso en línea:https://doaj.org/article/c4ad00e2062e4bf6ab807ce220bfecaa
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spelling oai:doaj.org-article:c4ad00e2062e4bf6ab807ce220bfecaa2021-12-04T16:01:08ZConduction Abnormalities After Transcatheter Aortic Valve Replacement10.15420/usc.2018.7.21758-390X1758-3896https://doaj.org/article/c4ad00e2062e4bf6ab807ce220bfecaa2019-01-01T00:00:00Zhttps://www.uscjournal.com/articles/conduction-abnormalities-after-TAVRhttps://doaj.org/toc/1758-3896https://doaj.org/toc/1758-390XTranscatheter aortic valve replacement (TAVR) has been established as a therapeutic option for patients with severe symptomatic aortic stenosis who are of intermediate or higher surgical risk. Several periprocedural complications are reduced with newer transcatheter heart valve generations; however, conduction abnormalities and the need for permanent pacemaker implantation have remained unchanged and are the most frequent TAVR complications. The close relationship of the atrioventricular node and left bundle branch to the subaortic region explains these potential conduction abnormalities. This article highlights conduction abnormalities after TAVR with a focus on basic conduction system anatomy in relation to the aortic valve, the mechanism, incidence, predisposing factors for occurrence, impact on mortality and finally, proposed treatment algorithms for management.Somsupha KanjanauthaiKabir BhasinLuigi PirelliChad A KligerRadcliffe Medical MediaarticleDiseases of the circulatory (Cardiovascular) systemRC666-701ENUS Cardiology Review , Vol 13, Iss 1, Pp 21-29 (2019)
institution DOAJ
collection DOAJ
language EN
topic Diseases of the circulatory (Cardiovascular) system
RC666-701
spellingShingle Diseases of the circulatory (Cardiovascular) system
RC666-701
Somsupha Kanjanauthai
Kabir Bhasin
Luigi Pirelli
Chad A Kliger
Conduction Abnormalities After Transcatheter Aortic Valve Replacement
description Transcatheter aortic valve replacement (TAVR) has been established as a therapeutic option for patients with severe symptomatic aortic stenosis who are of intermediate or higher surgical risk. Several periprocedural complications are reduced with newer transcatheter heart valve generations; however, conduction abnormalities and the need for permanent pacemaker implantation have remained unchanged and are the most frequent TAVR complications. The close relationship of the atrioventricular node and left bundle branch to the subaortic region explains these potential conduction abnormalities. This article highlights conduction abnormalities after TAVR with a focus on basic conduction system anatomy in relation to the aortic valve, the mechanism, incidence, predisposing factors for occurrence, impact on mortality and finally, proposed treatment algorithms for management.
format article
author Somsupha Kanjanauthai
Kabir Bhasin
Luigi Pirelli
Chad A Kliger
author_facet Somsupha Kanjanauthai
Kabir Bhasin
Luigi Pirelli
Chad A Kliger
author_sort Somsupha Kanjanauthai
title Conduction Abnormalities After Transcatheter Aortic Valve Replacement
title_short Conduction Abnormalities After Transcatheter Aortic Valve Replacement
title_full Conduction Abnormalities After Transcatheter Aortic Valve Replacement
title_fullStr Conduction Abnormalities After Transcatheter Aortic Valve Replacement
title_full_unstemmed Conduction Abnormalities After Transcatheter Aortic Valve Replacement
title_sort conduction abnormalities after transcatheter aortic valve replacement
publisher Radcliffe Medical Media
publishDate 2019
url https://doaj.org/article/c4ad00e2062e4bf6ab807ce220bfecaa
work_keys_str_mv AT somsuphakanjanauthai conductionabnormalitiesaftertranscatheteraorticvalvereplacement
AT kabirbhasin conductionabnormalitiesaftertranscatheteraorticvalvereplacement
AT luigipirelli conductionabnormalitiesaftertranscatheteraorticvalvereplacement
AT chadakliger conductionabnormalitiesaftertranscatheteraorticvalvereplacement
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