scholarly journals CONDUCTION DISORDERS AND PERMANENT CARDIAC PACEMAKER AFTER TRANSCATHETER AORTIC IMPLANTATION - AN UPDATE OVERVIEW

2021 ◽  
Vol 9 (8) ◽  
pp. 14-26
Author(s):  
Antônio da Silva Menezes Junior ◽  
Marcelo de Freitas Ribeiro ◽  
Tiago de Almeida Laranjeira ◽  
Vinícius Araújo Barbosa ◽  
Joaquim Ferreira Fernandes
Keyword(s):  
Aortic Valve ◽  
Severe Aortic Stenosis ◽  
Cardiac Pacemaker ◽  
Standard Technique ◽  
Conduction Disturbances ◽  
Conduction Disorders ◽  
Transcatheter Aortic Valve ◽  
Safe Technique ◽  
Permanent Cardiac Pacemaker ◽  
Valve Implantation

Aortic valve substitution is a standard technique with tolerable risk; nevertheless, the high mortality may be contraindicated. To reduce morbidity and mortality minimally invasive transcatheter aortic valve implantation (TAVI) may be an alternative approach. Although considered secure, after the method complications can occur, presenting as new-onset persistent left bundle branch block and demanding pacemaker implant. To establish how frequent this probability is, a systematic review from PUBMED (philters used were "15 years" and "free full texts") was achieved applying the terms "TAVI", "pacing" and "complications". For supporting literature, the other sources (SCIELO, Google Scholar and MEDLINE) were used and consulted for supporting literature. Catheter aortic prosthesis implantation is an effective modality for patients with high surgical risk and severe aortic stenosis. The review results suggest that the need for a pacemaker after endovascular treatment is neither inevitable nor easily predicted by known risk factors. Even though TAVI is considered a safe technique of selection, the implant position is near to functionally significant septal cardiac structures. Conduction disorders are frequent and need prudent checking after the procedure. Forthcoming studies must be necessary to validate the proposed algorithm and define the role of EP studies, ambulatory continuous electrocardiogram (Holter 24 hours) monitoring and preventive pacemaker in the management of conduction disturbances in patients undergoing transcatheter aortic valve replacement

Management and Prevention of Vascular Complications Related to Transcatheter Aortic Valve Implantation and Aortic Aneurysm Repair Procedures – A Technical Note

2010 ◽  
Vol 5 (1) ◽  
pp. 81
Author(s):  
Andrea Pacchioni ◽  
Dimitris Nikas ◽  
Carlo Penzo ◽  
Salvatore Saccà ◽  
Luca Favero ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Aortic Aneurysm ◽  
Transcatheter Aortic Valve Implantation ◽  
Severe Aortic Stenosis ◽  
Vascular Complications ◽  
Technical Note ◽  
Closure Device ◽  
Transcatheter Aortic Valve ◽  
Aortic Valve Implantation ◽  
Valve Implantation

Transcatheter aortic valve implantation (TAVI) and endovascular aortic repair (EVAR) are increasingly being used as therapeutic options for patients with severe aortic stenosis who are ineligible for surgery and who have aortic aneurysm with suitable anatomical features. These procedures can be associated with severe complications, especially related to vascular access and the use of a large introducer sheath (from 18 to 24 French [Fr]). In this article we describe possible vascular complications emerging during TAVI and EVAR and their appropriate management, beginning with patient selection, the correct way to perform vessel puncture and the use of a vascular closure device, up to the recently proposed cross-over technique, which is thought to minimise the risk of dangerous consequences of vascular damage.

A valve-in-valve transcatheter aortic valve implantation with commissural alignment using advanced imaging reconstruction: a case report

2020 ◽  
Vol 3 (10) ◽  
pp. 01-05
Author(s):  
Marco Angelillis
Keyword(s):  
Aortic Valve ◽  
Severe Aortic Stenosis ◽  
Coronary Intervention ◽  
Easy Access ◽  
Surgical Aortic Valve Replacement ◽  
Transcatheter Aortic Valve ◽  
Structural Valve Deterioration ◽  
Valve In Valve ◽  
Transcatheter Valve ◽  
Valve Implantation

Transcatheter valve in valve (ViV) implantation actually represents a valid alternative to surgical reinterventions in patients with previous surgical aortic valve replacement (AVR). In patients less than 80 years old, it is crucial to correctly position the new valve leaving a feasible and easy access to coronary ostia, both for future percutaneous coronary intervention (PCI) than for a future possible TAVinTAV procedure. We report a 71 year old man with prior AVR presented with structural valve deterioration (SVD) leading to severe aortic stenosis. In order to guarantee comfortable coronary access we aligned, the commissures of the new percutaneous valve with the ones of the surgical bioprothesis by reconstructing the headframes of the surgical bioprosthesis with computer tomography (CT) and fluoro-CT.

scholarly journals Real-time observation of a high-echoic mass in the left ventricle during transcatheter aortic valve implantation: a case report

2020 ◽  
Author(s):  
Akiko Masumoto ◽  
Takeshi Kitai ◽  
Mitsuhiko Ota ◽  
Kitae Kim ◽  
Natsuhiko Ehara ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Aortic Stenosis ◽  
Transcatheter Aortic Valve Implantation ◽  
Severe Aortic Stenosis ◽  
Cerebral Arteries ◽  
Transoesophageal Echocardiography ◽  
Transcatheter Aortic Valve ◽  
Transcatheter Heart Valve ◽  
Aortic Valve Implantation ◽  
Valve Implantation

Abstract Background Increasing number of symptomatic patients with severe aortic stenosis is treated with transcatheter aortic valve implantation (TAVI). Stroke is one of the most serious complications of TAVI, and the majority of cerebral events in patients undergoing TAVI have an embolic origin. Case summary A 90-year-old female underwent trans-femoral TAVI for symptomatic severe aortic stenosis. Just before the implantation of the transcatheter heart valve (THV), transoesophageal echocardiography (TOE) showed a mobile, high-echoic mass attached to the THV, which gradually enlarged to 26 mm, then spontaneously detached from the THV and flowed up the ascending aorta, disappearing from the TOE field of. After the procedure, the patient presented with ischaemic stroke. The patient’s stroke was thought to have resulted from the embolism migrating to the distal cerebral arteries. Discussion The detailed images acquired with TOE during TAVI enabled the prompt identification of the unusual intracardiac mass.

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