Abstract
Background Permanent pacemaker implantation after surgical aortic valve replacement depends on patient selection and risk factors for conduction disorders. We aimed to identify risk criteria and obtain a selected group comparable to patients assigned to transcatheter aortic valve implantation. Methods Isolated sutured aortic valve replacements in 994 patients treated from 2007 to 2015 were reviewed. Demographics, hospital stay, preexisting conduction disorders, surgical technique, and etiology in patients with and without permanent pacemaker implantation were compared. Reported outcomes after transcatheter aortic valve implantation were compared with those of a subgroup including only degenerative valve disease and first redo. Results The incidence of permanent pacemaker implantation was 2.9%. Longer hospital stay ( p = 0.01), preexisting rhythm disorders ( p < 0.001), complex prosthetic endocarditis ( p = 0.01), and complex redo ( p < 0.001) were associated with permanent pacemaker implantation. Although prostheses were sutured with continuous monofilament in the majority of cases (86%), interrupted pledgetted sutures were used more often in the pacemaker group ( p = 0.002). In the subgroup analysis, the incidence of permanent...Continue Reading
References
Apr 15, 1997·Circulation·D KlugJ Lekieffre
Mar 7, 2001·The American Journal of Cardiology·M H KimF Morady
Dec 25, 2007·The Annals of Thoracic Surgery·Sam DawkinsKeith D Dawkins
Oct 16, 2009·Journal of Cardiovascular Medicine·Paolo NardiLuigi Chiariello
Jan 21, 2011·The American Journal of Cardiology·Chiara FraccaroMassimo Napodano
Nov 12, 2013·The American Journal of Cardiology·Simon BinerAriel Finkelstein
Dec 29, 2013·Circulation·Marina UrenaJosep Rodés-Cabau
Sep 27, 2014·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Arie Pieter KappeteinStuart J Head
Dec 5, 2014·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Thomas T PoelsAlbert H M Van Straten
Jan 27, 2015·JACC. Cardiovascular Interventions·Tamim M NazifUNKNOWN PARTNER Publications Office
Mar 20, 2015·Journal of the American College of Cardiology·Hans Gustav Hørsted ThyregodLars Søndergaard
Feb 20, 2016·Current Pharmaceutical Design·Christopher CaoPraveen Indraratna
May 8, 2016·Circulation. Cardiovascular Interventions·Stefano RosatoUNKNOWN OBSERVANT Research Group
Jun 24, 2016·Journal of Cardiac Surgery·Michael P RobichEdward G Soltesz
Aug 6, 2016·International Journal of Technology Assessment in Health Care·Sanjeewa KularatnaPaul A Scuffham
Sep 30, 2016·BMJ : British Medical Journal·Reed A SiemieniukGordon H Guyatt
Oct 19, 2016·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Gennaro GiustinoAntonio Colombo