Please use this identifier to cite or link to this item: http://hdl.handle.net/11434/877
Title: Permanent pacemaker insertion after transcatheter aortic valve implantation.
Epworth Authors: Tan, Nicole
Dick, Ronald
Marasco, Silvana
Duffy, Stephen
Stub, D.
Walton, Anthony
Keywords: Poster 44
Anaesthetic
Aortic Valve
TAVI
Aortic Stenosis
Cardiac Conduction Abnormalities
Permanent Pacemaker Insertion
PPI
Atroventricular (AV) Block
Pacemakers
Transcatheter Aortic Valve Implantation
TAVI
Core Vale prosthesis
CVP
Society of Thoracic Surgeons
STS
Critical Care Clinical Institute, Epworth HealthCare, Victoria, Australia
Cardiac Sciences Clinical Institute, Epworth HealthCare, Victoria, Australia
Issue Date: Jul-2016
Citation: Poster 44
Conference: Research Week 2016
Conference Location: Epworth Research Institute, Epworth Health Care, Richmond, Victoria, Australia.
Abstract: Transcatheter Aortic Valve Implantation (TAVI) is a minimally invasive procedure used to treat patients with symptomatic aortic stenosis. One of complications of TAVI is cardiac conduction abnormalities which requires permanent pacemaker insertion (PPI). This study determined the rate and contributing factors leading to PPI in patients after TAVI procedure. Method: We retrospectively analysed 196 patients that underwent elective TAVI from March 2010 to March 2016 at Epworth hospital. Eighteen patients with pre-operative pacemakers were excluded from the study leaving 178 patients for subsequent analysis. Statistical analysis was performed with MedCalc and GraphPad software. Results: The mean age of 178 TAVI patients was 84.4 ± 5.2 years with 46% male patients. The Core Vale prosthesis (CVP) was used in 154 patients whereas 24 patients received the Evolut R prosthesis (ERP). The mean Society of Thoracic Surgeons' (STS) risk score for all patients was 5.1±3.1. A total of 53 (30%) patients suffered from cardiac arrhythmias requiring PPI post-TAVI. The average timeframe for PPI was 3.1±5.0 days post-TAVI with 89% occurring within a week. Atroventricular (AV) block accounted or 68% of cases and majority of the AV blocks documented were complete hart blocks. PPI was increased with the use of CVP (33%) as compared to ERP (13%) (P=0.08, RR 046, 95%CI 0.1‛a1.1). The risk also increased with larger prosthetic valves (P=0.01, 95%CI - 3.6‛a-1.3) and deeper valve deployment into the aortic annulus (P=0.0001, 95%CI - 3.6a‛-1.3).
URI: http://hdl.handle.net/11434/877
Type: Conference Poster
Affiliated Organisations: Monash University
Type of Clinical Study or Trial: Cohort Study
Appears in Collections:Critical Care
Cardiac Sciences

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