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- W3137642923 abstract "Avoiding conduction disturbances after transcatheter aortic valve replacement (TAVR) remains as one of the major challenges despite the improvement in most recent TAVR iterations or the development of new techniques as cusp overlap strategy aiming to decrease such rate. Globally, the current need for permanent pacemaker following TAVR accounts for ~13% which compares unfavorably with less than 5% following surgical valve replacement (SAVR) [ [1] Khatri P.J. Webb J.G. Rodés-Cabau J. et al. Adverse effects associated with transcatheter aortic valve implantation: a meta-analysis of contemporary studies. Ann. Intern. Med. 2013; 158: 35-46https://doi.org/10.7326/0003-4819-158-1-201301010-00007 Crossref PubMed Scopus (194) Google Scholar ]. As summarized in Table 1, little has been said in prior investigations regarding the impact of valve-in-valve (ViV) procedures on the rate of conduction system disturbances other than pacemaker, maybe because there was a general conviction that such complication was rare in this particular setting. Table 1Summary of the main studies from the last decade reporting conduction disturbances following TAVR-in-TAVR or TAVR-in-SAVR with recent devices iterations. Author Journal Year Nr. of patients Nr. of TAVR in TAVR Rate of pacemaker Rate of other new conduction disorders Landes et al.SR1 JACC 2020 212 212 9.6% NO Wai Sang et al.SR2 The Annals of Thoracic Surgery 2020 56 0 9% NO Raschpichler et al. SR3 JAHA 2020 99 25 TAVR in TAVR 16.7% TAVR in TAVR 31.6% TAVR in SAVR 5.4% TAVR in SAVR 6.8% Hirji et al. SR4 European Heart Journal 2020 2181 0 10.9% 12.4% Miller et al. SR5 JACC: CV interventions 2019 66 0 7.6% NO De Freitas et al. SR6 Circ Cardiovasc Interv 2018 116 0 5.2% NO Tuzcu et al. SR7 JACC 2018 1150 0 3% NO Nalluri et al. SR8 J Interv Cardiol 2018 254 0 7.8% NO Deeb et al. SR9 JACC: CV interventions 2017 227 0 8.1% NO Webb et al. SR10 JACC 2017 365 0 1.9% NO Simonato et al. SR11 Circ Cardiovasc Interv 2016 Corevalve 157 0 Corevalve 12.7% NO Sapien XT 11.6% Sapien XT 135 Dvir et al. SR12 JAMA 2014 459 0 8.3% NO SAVR: Surgical aortic valve replacement. TAVR: Transcatheter aortic valve replacement. Open table in a new tab SAVR: Surgical aortic valve replacement. TAVR: Transcatheter aortic valve replacement. Cardiac conduction abnormalities in patients with degenerated bioprostheses undergoing transcatheter aortic valve-in-valve implantations and their impact on long-term outcomesInternational Journal of CardiologyVol. 330PreviewThe relationship between preoperative cardiac conduction abnormalities (CCA) and long-term outcomes after transcatheter aortic valve-in-valve implantation (TAVI-VIV) remains unclear. The aim of the study was to evaluate the effects of preoperative CCA on mortality and morbidity after TAVI-VIV and to estimate the impact of new-onset CCA on postoperative outcomes. Full-Text PDF" @default.
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- W3137642923 date "2021-06-01" @default.
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- W3137642923 title "New conduction abnormalities following aortic valve-in-valve: The weakest link of a strong chain" @default.
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- W3137642923 doi "https://doi.org/10.1016/j.ijcard.2021.03.021" @default.
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