Evidence map›Paper›PMID 36902870›Full record

ArticleJournal of clinical medicine2023

Conduction Disorders after Surgical Aortic Valve Replacement Using a Rapid Deployment Aortic Valve Prosthesis: Medium-Term Follow-Up.

Christian Mogilansky, Parwis Massoudy, Markus Czesla, Robert Balan

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Article in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

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3 · Its place in the literature

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2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Christian MogilanskyDepartment of Cardiac Surgery, Klinikum Passau, 94032 Passau, Germany.
Parwis MassoudyDepartment of Cardiac Surgery, Klinikum Passau, 94032 Passau, Germany.
Markus CzeslaDepartment of Cardiac Surgery, Klinikum Passau, 94032 Passau, Germany.ORCID 0000-0002-8194-3427
Robert BalanDepartment of Cardiac Surgery, Klinikum Passau, 94032 Passau, Germany.ORCID 0000-0002-7340-7472

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe have previously reported that the incidence of postoperative conduction disorders, especially left bundle branch block (LBBB), after implantation of a rapid deployment Intuity™ Elite aortic valve prosthesis (Edwards Lifesciences, Irvine, CA, USA), was significantly increased compared with conventional aortic valve replacement. We were now interested in how these disorders behaved at intermediate follow-up.

methodsAll 87 patients who had undergone surgical aortic valve replacement (SAVR) using the rapid deployment Intuity™ Elite prosthesis and were shown to have conduction disorders at the time of hospital discharge were followed up after surgery. These patients' ECGs were recorded at least 1 year after surgery, and the persistence of the new postoperative conduction disorders was assessed.

resultsAt hospital discharge, 48.1% of the patients had developed new postoperative conduction disorders, with LBBB being the predominant conduction disturbance (36.5%). At medium-term follow-up (526 days, standard deviation (SD) = 169.6, standard error (SE) = 19.3 days, respectively), 44% of the new LBBB and 50% of the new right bundle branch block (RBBB) had disappeared. There was no new atrio-ventricular block III (AVB III) that occurred. One new pacemaker (PM) was implanted during follow-up because of AVB II Mobitz type II.

conclusionsAt medium-term follow-up after the implantation of a rapid deployment Intuity™ Elite aortic valve prosthesis, the number of new postoperative conduction disorders, especially LBBB, has considerably decreased but remains high. The incidence of postoperative AV block III remained stable.

Indexed as

conduction disordersleft bundle branch block (LBBB)rapid deployment aortic valve prosthesis

Identifiers

PMID36902870
PMCPMC10004204

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