ArticleJournal of thoracic disease2019
Surgical technique modifies the postoperative atrioventricular block rate in sutureless prostheses.
Article in Journal of thoracic disease, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.
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Who cites it
17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 24 citations in OpenAlex.
- Conduction system pacing in prosthetic heart valves.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2023Pooled it
- A pooled analysis of pacemaker implantation after Perceval sutureless aortic valve replacement.Interactive cardiovascular and thoracic surgery · 2021Pooled it
- Mitigating conduction disturbances in sutureless aortic valve surgery: A standardized anti-oversizing strategy in a large single-center program.JTCVS open · 2026Article
- Severe Aortic Stenosis and Pre-Excitation Syndrome in Pregnancy-A Multidisciplinary Approach.Diagnostics (Basel, Switzerland) · 2025Article
- Sutureless aortic valve and post-operative atrial fibrillation: Five-year outcomes from a propensity matched cohort study.World journal of cardiology · 2025Article
- How to avoid oversizing Perceval sutureless aortic valve: Technique.ARYA atherosclerosis · 2025Article
- Clinical Midterm Results of Surgical Aortic Valve Replacement with Sutureless Valves.Journal of chest surgery · 2024Article
- Conduction Disorders after Surgical Aortic Valve Replacement Using a Rapid Deployment Aortic Valve Prosthesis: Medium-Term Follow-Up.Journal of clinical medicine · 2023Article
- Rapid-Deployment Aortic Valve Replacement: Patient Selection and Special Considerations.Vascular health and risk management · 2023Review
- Recent improvement in operative techniques lead to lower pacemaker rate after Perceval implant.Interactive cardiovascular and thoracic surgery · 2022Article
- Atrioventricular accessory pathway unmasked by heart valve replacement.Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc · 2022Article
- Incidence and predictors of permanent pacemaker implantation after surgical aortic v alve replacement: Data of the Netherlands Heart Registration (NHR).Journal of cardiac surgery · 2021Article
- Non-pledget commissural suture technique to avoid atrioventricular block.General thoracic and cardiovascular surgery · 2021Article
- Mid-term assessment of structural valve deterioration of perceval S sutureless prosthesis using the last European consensus definition.Interactive cardiovascular and thoracic surgery · 2021Article
- Aortic Valve Replacement Via Right Anterior Mini-Thoracotomy: the Conventional Procedure Performed Through a Smaller Incision.Brazilian journal of cardiovascular surgery · 2021Article
- Feasibility and stability of left bundle branch pacing in patients after prosthetic valve implantation.Clinical cardiology · 2020Observational
- Sutureless valve and rapid deployment valves: a systematic review and meta-analysis of comparative studies.Annals of cardiothoracic surgery · 2020Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe main objective was to analyse the impact of the modification of the Perceval S implantation technique on the prevalence of postoperative atrioventricular block, which requires a permanent pacemaker, in our aortic valve replacement series. In addition, we attempted to identify those risk factors that are related to the appearance of this complication.
methodsFive hundred and seventy-two valve replacements were carried out with PERCEVAL S in our centre up to July 2018. Use of modified technique (n=302). Minimally invasive approach (n=340). Associated coronary surgery (n=95). Patients with pacemakers prior to surgery (n=27) and associated mitral or tricuspid valve surgery (n=26) were excluded. We analysed variables of interest that could influence the increase in postoperative atrioventricular block. Technique performed, disorders of intraventricular conduction and pre/intraoperative characteristics. The influence of the modified technique was analysed.
resultsFive hundred and nineteen aortic valve replacements with PERCEVAL S. Age (years) (median 77, interquartile range 8). Height (cm) (159, 13.5). Euroscore II (%) (2.25, 2.27). Postoperative atrioventricular block standard technique (n=23, 10.14%). Modified technique (n=14, 4.30%) (P=0.009). Multivariate regression analysis. Final model AUC =0.740, maximum model AUC =0.774 (P>0.05). Includes: Technique used (P=0.024), height (P=0.043) and disorders of interventricular conduction, right bundle branch block (P=0.005), trifascicular block (P=0.008).
conclusionsIn our experience, the modified technique significantly decreases the incidence of postoperative atrioventricular block that requires a permanent pacemaker in the aortic valve replacement with PERCEVAL S. The prior electrocardiographic presence of right bundle branch block, trifascicular block and the height of the patient are associated with an increased risk of blocking.
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