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- Title
Permanent Pacemaker Implantation After Trans-Catheter Aortic Valve Implantation And Surgical Aortic Valve Replacement In Zagazig University Hospitals And National Heart Institute.
- Authors
Ahmed Alcekelly, Montaser Mostafa; Roshdy, Hisham Samir; El Sayed Hussein, Ekhlas Mohamed; Al Shafei Awwad Ali, Wael Abd
- Abstract
Background: Permanent pacemaker implantation (PPI) and conduction disorders are more common with trans-catheter aortic valve implantation (TAVI). Several risk factors have been identified predicting PPI after TAVI. Objective: This study aimed to estimate the occurrence and detect predictors of permanent pacemaker implantation after transcatheter aortic valve implantation versus surgical aortic valve replacement. Methods: Prospective cohort study from November 2014 to April 2017 in Zagazig University Hospitals and National Heart Institute in elderly patients with severe aortic valve stenosis who were candidates for aortic valve replacement. Results: The incidence of AV conduction disorders was significantly high in the TAVI group compared to the SAVR group 50% vs. 20% (p-value =0.03) derived mainly by the significant increment in the incidence of left bundle branch block (LBBB) and complete heart block. Permanent pacemaker implantation was done post-procedure to three cases in the TAVI group and one case in the surgical aortic valve replacement group. After one-month pacemaker implantation was done on another patient in the TAVI group. Conclusion: Transcatheter aortic valve implantation was significantly followed by increased incidence of atrioventricular (AV) conduction disorders mainly the third-degree atrioventricular block which required permanent pacemaker implantation and left bundle branch block in comparison to surgical aortic valve replacement.
- Subjects
AORTIC valve transplantation; CARDIAC pacemakers; AORTIC stenosis; HEART block; PATIENTS' attitudes
- Publication
Zagazig University Medical Journal, 2022, Vol 28, p18
- ISSN
1110-1431
- Publication type
Article
- DOI
10.21608/zumj.2019.18254.1589