Membranous septum morphology and risk of conduction abnormalities after transcatheter aortic valve implantation
| Autor: | Lars Søndergaard, Troels H. Jørgensen, Nicolo Piazza, Ole De Backer, Bjarne L. Nørgaard, Jesper Møller Jensen, Nicolaj C. Hansson, Gintautas Bieliauskas, Christian Juhl Terkelsen, Jesper Hastrup Svendsen, Evald Høj Christiansen, Xi Wang |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2022 |
| Předmět: |
medicine.medical_specialty
Pacemaker Artificial Aortic Valve Stenosis/diagnostic imaging Transcatheter aortic medicine.medical_treatment Bundle-Branch Block Transcatheter Aortic Valve Replacement Valve replacement Clinical Research Internal medicine medicine Humans Heart valve Retrospective Studies Conduction abnormalities Bundle branch block business.industry Aortic Valve Stenosis medicine.disease Aortic Valve/diagnostic imaging medicine.anatomical_structure Treatment Outcome Aortic Valve Heart Valve Prosthesis Transcatheter Aortic Valve Replacement/adverse effects Cardiology Cardiology and Cardiovascular Medicine business Bundle-Branch Block/therapy |
| Zdroj: | Jørgensen, T H, Hansson, N, De Backer, O, Bieliauskas, G, Terkelsen, C J, Wang, X, Jensen, J M, Christiansen, E H, Piazza, N, Svendsen, J H, Nørgaard, B L & Søndergaard, L 2022, ' Membranous septum morphology and risk of conduction abnormalities after transcatheter aortic valve implantation ', EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology, vol. 17, no. 13, pp. 1061-1069 . https://doi.org/10.4244/EIJ-D-21-00363 EuroIntervention |
| Popis: | BACKGROUND: There are limited data on the association of membranous septum (MS) morphology and transcatheter heart valve (THV) implantation depth, and the development of new conduction abnormalities (CA) after transcatheter aortic valve implantation (TAVI). AIMS: The aim of this study was to describe the morphology of the MS and predict the risk of new CA after TAVI based on the MS morphology and THV implantation depth. METHODS: Based on preprocedural CT scans, the MS depth was measured for every 25% of the entire MS width in 272 TAVI patients without preprocedural bundle branch block (BBB) or pacemaker. Post-procedural CT scans for THV implantation depth assessment were available in 130 of these patients. RESULTS: The MS depth was a median of 2.5 mm (IQR 1.4-3.8) deeper at the posterior edge when compared to the anterior edge of the MS. New CA developed in 7.1% of patients in whom the THV did not cross the lower MS border at its anterior edge (3.6% with new BBB and high degree CA, respectively), in 18.8% of patients (15.6% with new BBB and 3.1% with new high-degree CA) where the THV overlapped the lower MS border by |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|