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- W4328100101 abstract "Current rates of permanent pacemaker implantation (PPMI) after transcatheter aortic valve implantation (TAVI) range between 3.4% and 25.9%. PPMI is associated with a worse prognosis. A lower valve implantation depth is associated with an increased risk of conduction disturbances. Theoretically, cusp-overlap projection (COP) has the potential to enable higher valve deployment. To compare the 30-day PPMI incidence post-TAVI using self-expanding valves according to the fluoroscopic guidance technique. This retrospective single-center study assessed consecutive patients undergoing TAVI with CoreValve™ valves between April 2019 and November 2021, grouped according to the fluoroscopic guidance technique (COP vs. coplanar implantation technique [CIT]). A total of 122 patients were included, predominantly women (52.5%), with a mean age of 81.6±5.5 years. COP was used in 49.2% of the sample. The CIT group had a significantly higher prevalence of previous beta-blocker use (p<0.01), lower baseline left ventricular ejection fraction (p=0.04) and a higher EuroSCORE II (p=0.02). The 30-day PPMI rate was 27.9% (n=34), with no significant difference between the COP and CIT groups (26.7% vs. 29.0%, p=0.77). Complete atrioventricular block was the main cause (38.5%). Likewise, mean fluoroscopy time (p=0.14) and contrast volume (p=0.35) used were similar between the two groups. Radiation dose was lower in the COP group (p=0.02). There was no significant difference between post-TAVI grades III and IV aortic valve regurgitation (p=0.27) and there were no cases of periprocedural acute coronary occlusion. This study shows that the COP technique, although safe and not associated with increased complexity, did not significantly reduce the 30-day PPMI rate compared to the traditional CIT view. Atualmente, a prevalência de implantação de pacemaker permanente (PPMI) após colocação de válvulas aórticas percutâneas (VAP) varia entre 3,4-25,9%, estando tal necessidade associada a um pior prognóstico. A implantação baixa da prótese valvular determina um maior risco de desenvolvimento de distúrbios de condução. A técnica angiográfica de implantação da VAP baseada na sobreposição de cúspides (COP) possibilita teoricamente a libertação mais alta da prótese. Comparar a prevalência de PPMI aos 30 dias pós-VAP com válvulas autoexpansíveis, de acordo com a técnica fluoroscópica usada aquando da implantação. Estudo retrospetivo e unicêntrico baseado na análise de doentes consecutivamente submetidos a VAP com CoreValveTM entre abril de 2019 e novembro de 2021, dicotomizados de acordo com a técnica de fluoroscópica usada aquando da implantação protésica (COP versus técnica coplanar padrão - CIT). Foram incluídos 122 doentes, predominantemente mulheres (52,5%), com uma idade média de 81,6±5,5 anos. A técnica COP foi utilizada em 49,2% da amostra. O grupo em que foi aplicada a CIT apresentou uma prevalência significativamente maior de uso prévio de betabloqueador (p<0,01), menor fração de ejeção ventricular esquerda basal (p=0,04) e maior EuroSCORE II (p=0,02). A prevalência de PPMI 30 dias pós-VAP foi de 27,9% (n=34), sem diferença significativa entre os grupos COP e CIT (26,7% versus 29,0%, p=0,77). O bloqueio auriculoventricular completo foi a causa subjacente mais comum (38,5%). De igual modo, não se identificaram diferenças estatisticamente significativas relativas ao tempo médio de fluoroscopia (p=0,14) e volume de contraste (p=0,35) usados entre os dois grupos. A dose de radiação usada foi significativamente mais baixa com a aplicação da técnica de COP (p=0,02). Não se verificou diferença quanto à percentagem de doentes com regurgitação aórtica graus III ou IV pós-VAP entre os dois grupos (p=0,27) e não se registaram casos de oclusão coronária aguda peri-procedimento. A técnica fluoroscópica COP, embora segura e não associada a um aumento da complexidade, não reduziu significativamente a prevalência de PPMI aos 30 dias pós-VAP quando comparada à utilização da técnica angiográfica tradicional." @default.
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- W4328100101 date "2023-09-01" @default.
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- W4328100101 title "Impact of the use of cusp-overlap projection on the incidence of permanent pacemaker implantation post-transcatheter aortic valve implantation with self-expanding valves" @default.
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- W4328100101 doi "https://doi.org/10.1016/j.repc.2022.10.011" @default.
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