Results after implementation of the European protocol in the management of post-TAVI conduction disorders
To the Editor, Currently, transcatheter aortic valve implantation (TAVI) is the treatment of choice for most patients with severe aortic stenosis. Due to the anatomical proximity of the conduction system to the aortic valve, the development of cardiac conduction disorders is a common finding after t...
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2025-05-01
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| Series: | REC: Interventional Cardiology (English Ed.) |
| Online Access: | https://recintervcardiol.org/en/index.php?option=com_content&view=article&id=2652 |
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| author | Domingo López Vázquez Xacobe Flores Ríos Fausto de Andrés Carmen Vidau Getán Ramón Calviño Santos José Manuel Vázquez Rodríguez |
| author_facet | Domingo López Vázquez Xacobe Flores Ríos Fausto de Andrés Carmen Vidau Getán Ramón Calviño Santos José Manuel Vázquez Rodríguez |
| author_sort | Domingo López Vázquez |
| collection | DOAJ |
| description | To the Editor, Currently, transcatheter aortic valve implantation (TAVI) is the treatment of choice for most patients with severe aortic stenosis. Due to the anatomical proximity of the conduction system to the aortic valve, the development of cardiac conduction disorders is a common finding after the procedure, being the most severe complete atrioventricular block (CAVB) and the most common left bundle branch block (LBBB), with incidence rates from 4% up to 60%.1 The latter has been associated with a worse prognosis in observational studies.2 Based on this, European scientific societies have developed a protocol for the management of post-TAVI conduction disorders.3 However, the clinical utility of the practical implementation of this protocol has not been evaluated to date. We conducted a retrospective analysis with 337 patients treated with TAVI at our center from September 2021—when the European clinical practice guidelines algorithm for post-TAVI conduction disorders was systematically implemented—through March 2023. We recorded the rate of conduction disorders, their management, and, in cases where a pacemaker was implanted, the rate of ventricular pacing 30 days after implantation. Continuous variables are expressed as mean and standard deviation, and the qualitative ones as proportions. Regarding inter-group differences, the Kaplan-Meier method was used to construct survival curves... |
| format | Article |
| id | doaj-art-634c3216de904ded963e310f6fc0c5bf |
| institution | Kabale University |
| issn | 2604-7322 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Permanyer |
| record_format | Article |
| series | REC: Interventional Cardiology (English Ed.) |
| spelling | doaj-art-634c3216de904ded963e310f6fc0c5bf2025-08-20T03:49:26ZengPermanyerREC: Interventional Cardiology (English Ed.)2604-73222025-05-017212212410.24875/RECICE.M24000497Results after implementation of the European protocol in the management of post-TAVI conduction disordersDomingo López Vázquez0Xacobe Flores Ríos1Fausto de Andrés2Carmen Vidau Getán3Ramón Calviño Santos4José Manuel Vázquez Rodríguez5Unidad de Hemodinámica, Servicio de Cardiología, Hospital Universitario de A Coruña, A Coruña, EspañaUnidad de Hemodinámica, Servicio de Cardiología, Hospital Universitario de A Coruña, A Coruña, EspañaUnidad de Hemodinámica, Servicio de Cardiología, Hospital Universitario de A Coruña, A Coruña, EspañaUnidad de Hemodinámica, Servicio de Cardiología, Hospital Universitario de A Coruña, A Coruña, EspañaUnidad de Hemodinámica, Servicio de Cardiología, Hospital Universitario de A Coruña, A Coruña, EspañaUnidad de Hemodinámica, Servicio de Cardiología, Hospital Universitario de A Coruña, A Coruña, EspañaTo the Editor, Currently, transcatheter aortic valve implantation (TAVI) is the treatment of choice for most patients with severe aortic stenosis. Due to the anatomical proximity of the conduction system to the aortic valve, the development of cardiac conduction disorders is a common finding after the procedure, being the most severe complete atrioventricular block (CAVB) and the most common left bundle branch block (LBBB), with incidence rates from 4% up to 60%.1 The latter has been associated with a worse prognosis in observational studies.2 Based on this, European scientific societies have developed a protocol for the management of post-TAVI conduction disorders.3 However, the clinical utility of the practical implementation of this protocol has not been evaluated to date. We conducted a retrospective analysis with 337 patients treated with TAVI at our center from September 2021—when the European clinical practice guidelines algorithm for post-TAVI conduction disorders was systematically implemented—through March 2023. We recorded the rate of conduction disorders, their management, and, in cases where a pacemaker was implanted, the rate of ventricular pacing 30 days after implantation. Continuous variables are expressed as mean and standard deviation, and the qualitative ones as proportions. Regarding inter-group differences, the Kaplan-Meier method was used to construct survival curves...https://recintervcardiol.org/en/index.php?option=com_content&view=article&id=2652 |
| spellingShingle | Domingo López Vázquez Xacobe Flores Ríos Fausto de Andrés Carmen Vidau Getán Ramón Calviño Santos José Manuel Vázquez Rodríguez Results after implementation of the European protocol in the management of post-TAVI conduction disorders REC: Interventional Cardiology (English Ed.) |
| title | Results after implementation of the European protocol in the management of post-TAVI conduction disorders |
| title_full | Results after implementation of the European protocol in the management of post-TAVI conduction disorders |
| title_fullStr | Results after implementation of the European protocol in the management of post-TAVI conduction disorders |
| title_full_unstemmed | Results after implementation of the European protocol in the management of post-TAVI conduction disorders |
| title_short | Results after implementation of the European protocol in the management of post-TAVI conduction disorders |
| title_sort | results after implementation of the european protocol in the management of post tavi conduction disorders |
| url | https://recintervcardiol.org/en/index.php?option=com_content&view=article&id=2652 |
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