Early Conduction Disorders Following Percutaneous Aortic Valve Replacement

Valeria Calvi; Euglena Puzzangara; Giusi Paola Pruiti; Sergio Conti; Angelo Di Grazia; Gian Paolo Ussia; Davide Capodanno; Corrado Tamburino

doi:10.1111/j.1540-8159.2008.02298.x

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Early Conduction Disorders Following Percutaneous Aortic Valve Replacement

Journal article

Peer reviewed

Early Conduction Disorders Following Percutaneous Aortic Valve Replacement

Valeria Calvi, Euglena Puzzangara, Giusi Paola Pruiti, Sergio Conti, Angelo Di Grazia, Gian Paolo Ussia, Davide Capodanno and Corrado Tamburino

Pacing and clinical electrophysiology, Vol.32(s1), pp.S126-S130

03/01/2009

DOI: 10.1111/j.1540-8159.2008.02298.x

PMID: 19250075

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Abstract

Background: Percutaneous aortic valve replacement (PAVR) may be an alternative therapy for patients with severe aortic stenosis who are denied valve surgery because of age and comorbidity. Data are few regarding the incidence of early conduction disorders (CD) after PAVR. We examined the incidence and characteristics of CD in the immediate postoperative period after PAVR, and the need for permanent pacemaker (PPM) implantation. Methods and Results: Between June 2007 and June 2008 30 patients (mean age = 82.1 +/- 8.5 years) underwent PAVR in our institution. The incidence of new, postoperative CD, diagnosed by 12-lead or 24-hour Holter electrocardiogram, was 68.0%. Left bundle branch block was the most common conduction abnormality, with an incidence of 45.8%. The incidence of complete atrioventricular block requiring PPM implantation was 20%. Conclusions: We observed a higher incidence of early conduction disorders and need for PPM implantation after PAVR than generally reported after surgery. Whether this observation is clinically important requires larger prospective studies and follow up. (PACE 2009; 32:S126-S130)

Cardiac & Cardiovascular Systems

Cardiovascular System & Cardiology

Engineering

Engineering, Biomedical

Life Sciences & Biomedicine

Science & Technology

Technology

Details

Title: Subtitle: Early Conduction Disorders Following Percutaneous Aortic Valve Replacement
Creators: Valeria Calvi - University of Catania
Euglena Puzzangara - University of Catania
Giusi Paola Pruiti - University of Catania
Sergio Conti - University of Catania
Angelo Di Grazia - University of Catania
Gian Paolo Ussia - University of Catania
Davide Capodanno - University of Catania
Corrado Tamburino - University of Catania
Resource Type: Journal article
Publication Details: Pacing and clinical electrophysiology, Vol.32(s1), pp.S126-S130
Publisher: Wiley
DOI: 10.1111/j.1540-8159.2008.02298.x
PMID: 19250075
ISSN: 0147-8389
eISSN: 1540-8159
Number of pages: 5
Language: English
Date published: 03/01/2009
Academic Unit: Internal Medicine
Record Identifier: 9984822989702771

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