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Transcatheter aortic valve replacement and cardiac conduction |
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| Authors: | Satya Shreenivas Edward Schloss Joseph Choo Ian Sarembock Scott Lilly Dean Kereiakes |
| Affiliation: | 1. The Christ Hospital Heart and Vascular Center, Cincinnati, OH, USA;2. Division of Cardiovascular Medicine, The Ohio State University Wexner Medical Center, Columbus, OH, USA |
| Abstract: | Introduction: Conduction abnormalities after transcatheter aortic valve replacement (TAVR) account for a high percentage of post-TAVR complications. Areas covered: The etiology of conduction abnormalities is closely tied to cardiac anatomy (length of membranous septum, degree of calcification, location of left bundle within the membranous septum), baseline conduction abnormalities (preprocedure right bundle branch block), and procedural variables (type of valve, depth of implant). Management of new high-grade AV block and new left bundle branch block varies by institution in the absence of consensus guidelines. Expert opinion: Authors describe the incidence, etiology, outcomes, and management of conduction abnormalities related to aortic stenosis and TAVR. |
| Keywords: | TAVR pacemaker high-grade atrioventricular block complete heart block left bundle branch block right bundle branch block |