• Je něco špatně v tomto záznamu ?

Risk factors for permanent pacemaker implantation in patients receiving a balloon-expandable transcatheter aortic valve prosthesis

M. Droppa, TK. Rudolph, J. Baan, NE. Nielsen, H. Baumgartner, J. Vendrik, M. Froehlich, O. Borst, J. Wöhrle, M. Gawaz, P. Potratz, LP. Hack, V. Mauri, J. Baranowski, P. Bramlage, J. Kurucova, M. Thoenes, W. Rottbauer, T. Geisler,

. 2020 ; 35 (12) : 1735-1745. [pub] 20200626

Jazyk angličtina Země Japonsko

Typ dokumentu časopisecké články, multicentrická studie

Perzistentní odkaz   https://www.medvik.cz/link/bmc20027605

Permanent pacemaker implantation (PPI) is a widely recognized complication associated with TAVI (incidence up to 20%). Smaller registries have identified several variables associated with PPI. The objective was to validate patient- and transcatheter aortic valve implantation (TAVI)-related procedural variables associated with PPI. We performed a retrospective analysis of patients from six European centers undergoing TAVI with the Edwards SAPIEN 3 prosthesis. Baseline variables and pre-procedural ECG characteristics and CT-scans were taken into account. Data for 1745 patients were collected; 191 (10.9%) required PPI after TAVI. The baseline variables pulmonary hypertension (OR 1.64; 95% CI 1.01-2.59), QRS duration > 117 ms (OR 2.58; 95% CI 1.73-3.84), right bundle branch block (RBBB; OR 5.14; 95% CI 3.39-7.72), left anterior hemi block (OR 1.92; 95% CI 1.19-3.02) and first-degree atrioventricular block (AVB, OR 1.63; 95%CI 1.05-2.46) were significantly associated with PPI. RBBB (OR 8.11; 95% CI 3.19-21.86) and first-degree AVB (OR 2.39; 95% CI 1.18-4.66) remained significantly associated in a multivariate analysis. Procedure-related variables included access site (TF; OR 1.97; 95% CI 1.07-4.05), implanted valve size (29 mm; OR 1.88; 95% CI 1.35-2.59), mean TAVI valve implantation depth below the annulus > 30% (OR 3.75; 95% CI 2.01-6.98). Patients receiving PPI had longer ICU stays and later discharges. Acute kidney injury stage 2/3 was more common in patients with PPI until discharge (15.2 vs. 3.1%; p = 0.007), but was not statistically significant thereafter. Further differences in outcomes at 30 days did not reach significance. The data will aid pre- and post-procedural patient management and prevent adverse long-term outcomes.Clinical Trial: NCT03497611.

Citace poskytuje Crossref.org

000      
00000naa a2200000 a 4500
001      
bmc20027605
003      
CZ-PrNML
005      
20210114152128.0
007      
ta
008      
210105s2020 ja f 000 0|eng||
009      
AR
024    7_
$a 10.1007/s00380-020-01653-6 $2 doi
035    __
$a (PubMed)32591894
040    __
$a ABA008 $b cze $d ABA008 $e AACR2
041    0_
$a eng
044    __
$a ja
100    1_
$a Droppa, Michal $u Department of Cardiology and Angiology, University Hospital of Tübingen, Tübingen, Germany.
245    10
$a Risk factors for permanent pacemaker implantation in patients receiving a balloon-expandable transcatheter aortic valve prosthesis / $c M. Droppa, TK. Rudolph, J. Baan, NE. Nielsen, H. Baumgartner, J. Vendrik, M. Froehlich, O. Borst, J. Wöhrle, M. Gawaz, P. Potratz, LP. Hack, V. Mauri, J. Baranowski, P. Bramlage, J. Kurucova, M. Thoenes, W. Rottbauer, T. Geisler,
520    9_
$a Permanent pacemaker implantation (PPI) is a widely recognized complication associated with TAVI (incidence up to 20%). Smaller registries have identified several variables associated with PPI. The objective was to validate patient- and transcatheter aortic valve implantation (TAVI)-related procedural variables associated with PPI. We performed a retrospective analysis of patients from six European centers undergoing TAVI with the Edwards SAPIEN 3 prosthesis. Baseline variables and pre-procedural ECG characteristics and CT-scans were taken into account. Data for 1745 patients were collected; 191 (10.9%) required PPI after TAVI. The baseline variables pulmonary hypertension (OR 1.64; 95% CI 1.01-2.59), QRS duration > 117 ms (OR 2.58; 95% CI 1.73-3.84), right bundle branch block (RBBB; OR 5.14; 95% CI 3.39-7.72), left anterior hemi block (OR 1.92; 95% CI 1.19-3.02) and first-degree atrioventricular block (AVB, OR 1.63; 95%CI 1.05-2.46) were significantly associated with PPI. RBBB (OR 8.11; 95% CI 3.19-21.86) and first-degree AVB (OR 2.39; 95% CI 1.18-4.66) remained significantly associated in a multivariate analysis. Procedure-related variables included access site (TF; OR 1.97; 95% CI 1.07-4.05), implanted valve size (29 mm; OR 1.88; 95% CI 1.35-2.59), mean TAVI valve implantation depth below the annulus > 30% (OR 3.75; 95% CI 2.01-6.98). Patients receiving PPI had longer ICU stays and later discharges. Acute kidney injury stage 2/3 was more common in patients with PPI until discharge (15.2 vs. 3.1%; p = 0.007), but was not statistically significant thereafter. Further differences in outcomes at 30 days did not reach significance. The data will aid pre- and post-procedural patient management and prevent adverse long-term outcomes.Clinical Trial: NCT03497611.
650    _2
$a senioři $7 D000368
650    _2
$a senioři nad 80 let $7 D000369
650    _2
$a aortální chlopeň $x diagnostické zobrazování $x patofyziologie $x chirurgie $7 D001021
650    _2
$a aortální stenóza $x diagnostické zobrazování $x patofyziologie $x chirurgie $7 D001024
650    _2
$a balónková valvuloplastika $x škodlivé účinky $7 D063126
650    12
$a kardiostimulace umělá $7 D002304
650    _2
$a ženské pohlaví $7 D005260
650    _2
$a srdeční blokáda $x diagnóza $x etiologie $x patofyziologie $x terapie $7 D006327
650    12
$a srdeční frekvence $7 D006339
650    12
$a srdeční chlopně umělé $7 D006350
650    _2
$a lidé $7 D006801
650    _2
$a mužské pohlaví $7 D008297
650    12
$a kardiostimulátor $7 D010138
650    _2
$a registrace $7 D012042
650    _2
$a retrospektivní studie $7 D012189
650    _2
$a hodnocení rizik $7 D018570
650    _2
$a rizikové faktory $7 D012307
650    _2
$a časové faktory $7 D013997
650    _2
$a transkatetrální implantace aortální chlopně $x škodlivé účinky $x přístrojové vybavení $7 D065467
650    _2
$a výsledek terapie $7 D016896
651    _2
$a Evropa $7 D005060
655    _2
$a časopisecké články $7 D016428
655    _2
$a multicentrická studie $7 D016448
700    1_
$a Rudolph, Tanja K $u Department of Cardiology, Heart Center, Cologne University, Cologne, Germany. Heart and Diabetes Center NRW, Ruhr University Bochum, Bad Oeynhausen, Germany.
700    1_
$a Baan, Jan $u Heart Center, Academic Medical Center, Amsterdam University, Amsterdam, Netherlands.
700    1_
$a Nielsen, Niels-Erik $u Department of Cardiology, Linköping University Hospital, Linköping, Sweden.
700    1_
$a Baumgartner, Helmut $u Department of Cardiology III: Adult Congenital and Valvular Heart Disease, University Hospital Münster, Münster, Germany.
700    1_
$a Vendrik, Jeroen $u Heart Center, Academic Medical Center, Amsterdam University, Amsterdam, Netherlands.
700    1_
$a Froehlich, Maren $u Institute for Pharmacology and Preventive Medicine, Cloppenburg, Germany.
700    1_
$a Borst, Oliver $u Department of Cardiology and Angiology, University Hospital of Tübingen, Tübingen, Germany.
700    1_
$a Wöhrle, Jochen $u Department of Internal Medicine II, Cardiology, Angiology, Pulmonology, Intensive Care Medicine, University of Ulm, Ulm, Germany.
700    1_
$a Gawaz, Meinrad $u Department of Cardiology and Angiology, University Hospital of Tübingen, Tübingen, Germany.
700    1_
$a Potratz, Paul $u Department of Cardiology and Angiology, University Hospital of Tübingen, Tübingen, Germany.
700    1_
$a Hack, Luis P $u Department of Cardiology and Angiology, University Hospital of Tübingen, Tübingen, Germany.
700    1_
$a Mauri, Victor $u Department of Cardiology, Heart Center, Cologne University, Cologne, Germany.
700    1_
$a Baranowski, Jacek $u Department of Cardiology, Linköping University Hospital, Linköping, Sweden.
700    1_
$a Bramlage, Peter $u Institute for Pharmacology and Preventive Medicine, Cloppenburg, Germany.
700    1_
$a Kurucova, Jana $u Edwards Lifesciences, Prague, Czech Republic.
700    1_
$a Thoenes, Martin $u Edwards Lifesciences, Nyon, Switzerland.
700    1_
$a Rottbauer, Wolfgang $u Department of Internal Medicine II, Cardiology, Angiology, Pulmonology, Intensive Care Medicine, University of Ulm, Ulm, Germany.
700    1_
$a Geisler, Tobias $u Department of Cardiology and Angiology, University Hospital of Tübingen, Tübingen, Germany. tobias.geisler@med.uni-tuebingen.de.
773    0_
$w MED00009797 $t Heart and vessels $x 1615-2573 $g Roč. 35, č. 12 (2020), s. 1735-1745
856    41
$u https://pubmed.ncbi.nlm.nih.gov/32591894 $y Pubmed
910    __
$a ABA008 $b sig $c sign $y a $z 0
990    __
$a 20210105 $b ABA008
991    __
$a 20210114152126 $b ABA008
999    __
$a ok $b bmc $g 1607940 $s 1118785
BAS    __
$a 3
BAS    __
$a PreBMC
BMC    __
$a 2020 $b 35 $c 12 $d 1735-1745 $e 20200626 $i 1615-2573 $m Heart and vessels $n Heart Vessels $x MED00009797
LZP    __
$a Pubmed-20210105

Najít záznam

Citační ukazatele

Možnosti archivace