Abstract
Abstract 10048: Early vs Late Permanent Pacemaker Implantation After Transcatheter Aortic Valve Replacement: A Single Center Experience
Circulation (New York, N.Y.), v 140(Suppl_1 Suppl 1), A10048
19 Nov 2019
Abstract
IntroductionIdentification of patients who require permanent pacemaker (PPM) implantation after trans catheter aortic valve replacement (TAVR) prior to hospital discharge is of great clinical importance.MethodsWe reviewed the TAVR registry at our tertiary care center and compared patients requiring PPM prior to discharge (Group 1) vs after discharge from the hospital (Group 2).Results752 patients underwent TAVR between 1/1/2016 and 12/31/2018. Of these, 47 (6.25%) patients required PPM implantation post-TAVR. Twenty seven (57%) of the implanted PPMs were placed prior to discharge from the hospital (Group 1) and 20 (43%) after discharge (Group 2). Comparison of baseline characteristics, pre-TAVR ECG parameters, PPM indications, and intra-procedural rhythm concerns, between the two groups is presented in table 1, 2 and graph1, 2, respectively. Regression analysis revealed that baseline sinus bradycardia (Odds ratio=0.26, coefficient= -1.33, p<0.04) was an independent predictor of post-discharge PPM. Average length of ICU stay was 74 vs 26 hours (p<0.01) between group 1 and 2.ConclusionIntra-procedural rhythm concerns during TAVR may predict the need for PPM prior to hospital discharge. Although complete AV block is the most common indication for post-TAVR PPM, sick sinus syndrome appears to represent a significant indication esp. after hospital discharge.
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Details
- Title
- Abstract 10048: Early vs Late Permanent Pacemaker Implantation After Transcatheter Aortic Valve Replacement: A Single Center Experience
- Creators
- Kinan Kassar - Cardiology, Allegheny General Hosp, Pittsburgh, PAMark DoyleStephen BaileyRamzi Khalil
- Publication Details
- Circulation (New York, N.Y.), v 140(Suppl_1 Suppl 1), A10048
- Publisher
- by the American College of Cardiology Foundation and the American Heart Association, Inc
- Resource Type
- Abstract
- Language
- English
- Academic Unit
- Cardiothoracic Surgery
- Other Identifier
- 991021960811704721