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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Radcliffe Medical Media
2019
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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) |
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Diseases of the circulatory (Cardiovascular) system RC666-701 |
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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 |
_version_ |
1718372819258048512 |