Outcomes after pacemaker implantation in patients with new-onset left bundle-branch block after transcatheter aortic valve replacement
| Autor: | Raed Abdelhadi, Pamela Morley, Wesley Pederson, John Henstrom, Lucille E. Anzia, Jay Sengupta, Ross F. Garberich, Paul Sorajja, John R. Lesser, Anil Poulose, Michael Megaly, Mario Gössl, Santiago Garcia, Steven M. Bradley, Charles C. Gornick, Chuen Y. Tang |
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| Rok vydání: | 2019 |
| Předmět: |
Male
Pacemaker Artificial medicine.medical_specialty Time Factors Transcatheter aortic medicine.medical_treatment Bundle-Branch Block 030204 cardiovascular system & hematology Pacemaker implantation New onset Prosthesis Implantation Transcatheter Aortic Valve Replacement 03 medical and health sciences Postoperative Complications 0302 clinical medicine Valve replacement medicine Humans In patient 030212 general & internal medicine Aged Aged 80 and over Left bundle branch block business.industry Recovery of Function medicine.disease Pacemaker dependency Surgery Treatment Outcome Female Permanent pacemaker Cardiology and Cardiovascular Medicine business Follow-Up Studies |
| Zdroj: | American Heart Journal. 218:128-132 |
| ISSN: | 0002-8703 |
| DOI: | 10.1016/j.ahj.2019.07.006 |
| Popis: | New-onset left bundle branch block (N-LBBB) after transcatheter aortic valve replacement (TAVR) is a challenging clinical dilemma. In our single-center study, 60 out of 172 patients who underwent permanent pacemaker implantation (PPM) after TAVR had N-LBBB (34.9%). At a median follow-up duration of 357 days (IQR, 178; 560 days), two patients (3.5%) were completely pacemaker-dependent, and four others (7%) were partially dependent. Twelve patients (24%) recovered conduction in their left bundle at a median follow-up duration of 5 weeks (IQR, 4; 14 weeks). Due to the lack of clinical predictors of pacemaker dependency, active surveillance is warranted and may be an alternative to permanent pacemaker implantation. |
| Databáze: | OpenAIRE |
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