TY - JOUR

T1 - Management of Conduction Disturbances Associated With Transcatheter Aortic Valve Replacement

T2 - JACC Scientific Expert Panel

AU - Rodés-Cabau, J.

AU - Ellenbogen, Kenneth A.

AU - Krahn, Andrew D.

AU - Latib, A.

AU - Mack, Michael

AU - Mittal, Suneet

AU - Muntané-Carol, Guillem

AU - Nazif, Tamim M.

AU - Sondergaard, Lars

AU - Urena, Marina

AU - Windecker, Stephan

AU - Philippon, François

PY - 2019/8

Y1 - 2019/8

N2 - Despite major improvements in transcatheter aortic valve replacement (TAVR) periprocedural complications in recent years, the occurrence of conduction disturbances has not decreased over time and remains the most frequent complication of the procedure. Additionally, there has been an important lack of consensus on the management of these complications, which has indeed translated into a high degree of uncertainty regarding the most appropriate treatment of a large proportion of such patients along with major differences between centers and studies in pacemaker rates post-TAVR. There is therefore an urgent need for a uniform strategy regarding the management of conduction disturbances after TAVR. The present expert consensus scientific panel document has been formulated by a multidisciplinary group of interventional cardiologists, electrophysiologists, and cardiac surgeons as an initial attempt to provide a guide for the management of conduction disturbances after TAVR based on the best available data and group expertise.

AB - Despite major improvements in transcatheter aortic valve replacement (TAVR) periprocedural complications in recent years, the occurrence of conduction disturbances has not decreased over time and remains the most frequent complication of the procedure. Additionally, there has been an important lack of consensus on the management of these complications, which has indeed translated into a high degree of uncertainty regarding the most appropriate treatment of a large proportion of such patients along with major differences between centers and studies in pacemaker rates post-TAVR. There is therefore an urgent need for a uniform strategy regarding the management of conduction disturbances after TAVR. The present expert consensus scientific panel document has been formulated by a multidisciplinary group of interventional cardiologists, electrophysiologists, and cardiac surgeons as an initial attempt to provide a guide for the management of conduction disturbances after TAVR based on the best available data and group expertise.

KW - aortic stenosis

KW - conduction disturbances

KW - pacemaker

KW - transcatheter aortic valve replacement

U2 - 10.1016/j.jacc.2019.07.014

DO - 10.1016/j.jacc.2019.07.014

M3 - Review

C2 - 31439219

AN - SCOPUS:85070533586

VL - 74

SP - 1086

EP - 1106

JO - Journal of the American College of Cardiology

JF - Journal of the American College of Cardiology

SN - 0735-1097

IS - 8

ER -