ArticleREC, interventional cardiology
Projection selection and rapid atrial pacing improves early outcomes after self-expanding transcatheter aortic valves.
Article in REC, interventional cardiology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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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Authors and funding
11 authors.
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Abstract
Introduction and objectives: Because of the potential need for permanent pacemaker implantation, patients are frequently monitored for days after transcatheter aortic valve implantation (TAVI), particularly when using self-expanding valves. We sought to determine whether the appearance and management of conduction disturbances after TAVI can be improved by combining the cusp overlap projection (COP) and a rapid atrial pacing (RAP) protocol to detect the need for pacemaker implantation. Methods: We consecutively studied a total of 273 patients who underwent TAVI with self-expanding valves from 2018 through 2022 (134 undergoing standard implantations and 139 COP + RAP). Assessment included the 90-day follow-up. Results: Complete heart block was reported in 25.4% and 14.4% in the standard-of-care and COP + RAP group, with a marked decrease in transient atrioventricular block (12.8% vs 2.9%, respectively; Conclusions: The combination of COP + RAP during self-expanding TAVI improves postoperative screening for conduction disturbances, thus reducing the need for cardiac rhythm monitoring, and the length stay. The COP + RAP strategy improves the short-term clinical outcomes of self-expanding TAVI due to fewer infection-related readmissions.
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