Management of Conduction Disturbances Associated With Transcatheter Aortic Valve Replacement JACC Scientific Expert Panel

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY

卷:74

Review

Rodes-Cabau, Josep¹  Ellenbogen, Kenneth A.²  Krahn, Andrew D.³  Latib, Azeem⁴  Mack, Michael⁵  Mittal, Suneet⁶  Muntane-Carol, Guillem¹  Nazif, Tamim M.⁷  Sondergaard, Lars⁸  Urena, Marina⁹  Windecker, Stephan¹⁰  Philippon, Francois¹ 

[1] Laval Univ, Quebec Heart & Lung Inst, Quebec City, PQ, Canada

[2] Virginia Commonwealth Univ, Sch Med, Richmond, VA USA

[3] Univ British Columbia, Vancouver, BC, Canada

[4] Montefiore Med Ctr, New York, NY USA

[5] Baylor Scott & White Hlth, Dallas, TX USA

[6] Valley Hlth Syst, Ridgewood, NJ USA

[7] Columbia Univ, Med Ctr, New York Presbyterian Hosp, New York, NY USA

[8] Univ Copenhagen, Rigshosp, Copenhagen, Denmark

[9] Hop Xavier Bichat, AP HP, Paris, France

[10] Univ Bern, Bern Univ Hosp, Bern, Switzerland

关键词: aortic stenosis;    conduction disturbances;    pacemaker;    transcatheter aortic valve replacement;   

DOI  :  10.1016/j.jacc.2019.07.014

来源: Elsevier

【 摘 要 】

Despite major improvements in transcatheter aortic valve replacement (TAVR) periprocedural complications in recent years, the occurrence of conduction disturbances has not decreased over time and remains the most frequent complication of the procedure. Additionally, there has been an important lack of consensus on the management of these complications, which has indeed translated into a high degree of uncertainty regarding the most appropriate treatment of a large proportion of such patients along with major differences between centers and studies in pacemaker rates post-TAVR. There is therefore an urgent need for a uniform strategy regarding the management of conduction disturbances after TAVR. The present expert consensus scientific panel document has been formulated by a multidisciplinary group of interventional cardiologists, electrophysiologists, and cardiac surgeons as an initial attempt to provide a guide for the management of conduction disturbances after TAVR based on the best available data and group expertise. (C) 2019 by the American College of Cardiology Foundation.

【 授权许可】

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