Clinical significance of conduction disturbances after aortic valve intervention: current evidence

Manuel Martinez-Selles; Peter Bramlage; Martin Thoenes; Gerhard Schymik

doi:10.1007/s00392-014-0739-6

Clinical significance of conduction disturbances after aortic valve intervention: current evidence

Clin Res Cardiol. 2015 Jan;104(1):1-12. doi: 10.1007/s00392-014-0739-6. Epub 2014 Jul 4.

Authors

Manuel Martinez-Selles¹, Peter Bramlage, Martin Thoenes, Gerhard Schymik

Affiliation

¹ Cardiology Department, Hospital General Universitario Gregorio Marañón and Universidad Europea de Madrid, Madrid, Spain, mmselles@secardiologia.es.

PMID: 24990451
DOI: 10.1007/s00392-014-0739-6

Abstract

The occurrence of new conduction abnormalities that lead to the requirement for new permanent pacemaker implantation (PPI) has been reported to be the most frequent complication following transcatheter aortic valve implantation (TAVI). However, the reasons and clinical significance of TAVI-induced conduction disturbances and PPI are yet to be fully delineated. This review aims to evaluate the procedure- and patient-related factors that may contribute to the development of aberrant atrioventricular conduction following TAVI as well as its clinical consequences.

Publication types

Review

MeSH terms

Aortic Valve Stenosis / diagnosis
Aortic Valve Stenosis / physiopathology
Aortic Valve Stenosis / therapy*
Aortic Valve* / physiopathology
Arrhythmias, Cardiac / diagnosis
Arrhythmias, Cardiac / economics
Arrhythmias, Cardiac / etiology*
Arrhythmias, Cardiac / physiopathology
Arrhythmias, Cardiac / therapy
Cardiac Catheterization / adverse effects*
Cardiac Catheterization / methods
Cardiac Pacing, Artificial / economics
Cost-Benefit Analysis
Health Care Costs
Heart Conduction System / physiopathology*
Heart Valve Prosthesis Implantation / adverse effects*
Heart Valve Prosthesis Implantation / methods
Humans
Pacemaker, Artificial / economics
Risk Assessment
Risk Factors
Treatment Outcome