Pacemaker implantation after aortic valve replacement: rapid-deployment Intuity® compared to conventional bioprostheses

Autor: Olivier Touboul, Philippe Estagnasie, Alain Brusset, Lee S. Nguyen, Morgane Herry, Pierre Squara, Driss Laghlam
Rok vydání: 2020
Předmět:
Pulmonary and Respiratory Medicine
Pacemaker
Artificial

medicine.medical_specialty
Population
030204 cardiovascular system & hematology
03 medical and health sciences
0302 clinical medicine
Aortic valve replacement
Risk Factors
Internal medicine
medicine
Humans
Eacts/118
education
Retrospective Studies
Bioprosthesis
Heart Valve Prosthesis Implantation
Pacemaker implantation
education.field_of_study
Univariate analysis
business.industry
Left bundle branch block
Rapid-deployment bioprosthesis
Atrial fibrillation
Aortic Valve Stenosis
General Medicine
Odds ratio
Cardiac surgery
Right bundle branch block
medicine.disease
Treatment Outcome
030228 respiratory system
Aortic Valve
Heart Valve Prosthesis
Cardiology
Eacts/105
Surgery
Cardiology and Cardiovascular Medicine
business
Conventional Valve Operations
Eacts/125
Zdroj: European Journal of Cardio-Thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery
ISSN: 1873-734X
1010-7940
Popis: OBJECTIVES The aim of this study was to compare the incidence of permanent pacemaker (PPM) implantation after aortic valve replacement by rapid-deployment bioprosthesis (RDB) and standard valve (Standard). METHODS All patients undergoing aortic valve replacement between 2015 and 2018, in 1 centre, were included. A multivariate analysis on the whole cohort and then a propensity score matching were used to compare the 2 groups. The primary end point was PPM implantation. RESULTS We studied 924 patients (256 RDBs and 668 Standards). Overall, 67 PPM were implanted, 37 (14.5%) in the RDB group and 26 (3.9%) in the Standard group (P CONCLUSIONS RDBs were associated with reduced operating times, increased risk of atrial fibrillation and PPM implantation as compared with standard aortic valves.
Databáze: OpenAIRE