The DOI matches its Crossref record; 76 of the 76 references it cites were found in a registry or an index.
Pacemaker implantation rate after transcatheter aortic valve implantation with early and new-generation devices: a systematic review
Abstract
Aims: The incidence of new-onset conduction abnormalities requiring permanent pacemaker implantation (PPI) after transcatheter aortic valve implantation (TAVI) with new-generation prostheses remains debated. This systematic review analyses the incidence of PPI after TAVI with new-generation devices and evaluates the electrical, anatomical, and procedural factors associated with PPI. In addition, the incidence of PPI after TAVI with early generation prostheses was reviewed for comparison. Methods and results: According to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses checklist, this systematic review screened original articles published between October 2010 and October 2017, reporting on the incidence of PPI after implantation of early and new-generation TAVI prostheses. Of the 1406 original articles identified in the first search for new-generation TAVI devices, 348 articles were examined for full text, and finally, 40 studies (n = 17 139) were included. The incidence of a PPI after the use of a new-generation TAVI prosthesis ranged between 2.3% and 36.1%. For balloon-expandable prostheses, the PPI rate remained low when using an early generation SAPIEN device (ranging between 2.3% and 28.2%), and with the new-generation SAPIEN 3 device, the PPI rate was between 4.0% and 24.0%. For self-expandable prostheses, the PPI rates were higher with the early generation CoreValve device (16.3-37.7%), and despite a reduction in PPI rates with the new Evolut R, the rates remained relatively higher (14.7-26.7%). When dividing the studies according to the highest (>26.0%) and the lowest (<12.1%) quintile of PPI rate, patients within the highest quintile were more frequently women when compared with the lowest quintile group (50.9% vs. 46.3%, P < 0.001). Pre-existent conduction abnormalities (electrical factor), calcification of the left ventricular outflow tract (anatomical factor), and balloon valvuloplasty and depth of implantation (procedural factors) were associated with increased risk of PPI. Conclusion: The rate of PPI after TAVI with new-generation devices is highly variable. Specific recommendations for implantation of each prosthesis, taking into consideration the presence of pre-existent conduction abnormalities and anatomical factors, may be needed to reduce the risk of PPI.
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Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement
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Transcatheter or Surgical Aortic-Valve Replacement in Intermediate-Risk Patients
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Surgical or Transcatheter Aortic-Valve Replacement in Intermediate-Risk Patients
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Transcatheter Aortic-Valve Replacement with a Self-Expanding Prosthesis
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Cited by
Généreux, P., Piazza, N., Alu, M. C., Nazif, T., Hahn, R. T., Pibarot, P., Bax, J. J., Leipsic, J. A., Blanke, P., Blackstone, E. H., et al. (2021) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2021.02.038 · Cited by 1,313
Self-citationVARC-3 WRITING COMMITTEE, Généreux, P., Piazza, N., Alu, M. C., Nazif, T., Hahn, R. T., Pibarot, P., Bax, J. J., Leipsic, J. A., Blanke, P., et al. (2021) · European Heart Journal · doi:10.1093/eurheartj/ehaa799 · Cited by 915
Self-citationTranscatheter Heart Valves: A Biomaterials Perspective
Bui, H. T., Khair, N., Yeats, B., Gooden, S., James, S. P., & Dasi, L. P. (2021) · Advanced Healthcare Materials · doi:10.1002/adhm.202100115 · Cited by 36
Metadata
- Authors
- van Rosendael, P. J., Delgado, V., & Bax, J. J.
- Venue
- European Heart Journal
- Publisher
- Oxford University Press (OUP)
- Published
- 2018-02-06
- Volume
- 39
- Issue
- 21
- Pages
- 2003-2013
- ISSN
- 0195-668X (ISSN-L)
- 1522-9645
- OpenAlex
- W2790332731
- Cited by
- 292
- References
- 76
- FWCI
- 6.21
- Type
- journal article
- Language
- en
- Open access
- closed
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- van Rosendael, P. J., Delgado, V., & Bax, J. J. (2018). Pacemaker implantation rate after transcatheter aortic valve implantation with early and new-generation devices: a systematic review. European Heart Journal. https://doi.org/10.1093/eurheartj/ehx785
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