Publication:
Incidence and causes of pacemaker implantation during postoperative period of aortic valve replacement with rapid deployment prosthesis

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Pacing Clinical Electrophis - 2019 - Arribas - Incidence and causes of pacemaker implantation during postoperative period.pdf(419.43 KB)
Date
2019-12
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Authors
Arribas, José María ; Soriano, Laura ; Rivera Caravaca, José Miguel ; Lorenzo, Maydelin ; Muñoz, Carmen ; Taboada, Rubén ; Jiménez, Antonio ; Martínez, Juan ; García Puente, Julio ; Gutiérrez, Francisco ; Manzano, Sergio ; Cánovas López, Sergio
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Publisher
Wiley
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Cirugía, Pediatría y Obstetricia y Ginecología
DOI
https://doi.org/10.1111/pace.13824
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info:eu-repo/semantics/article
Description
© 2019 Wiley Periodicals, Inc. This document is the Published version of a Published Work that appeared in final form in Pacing and Clinical Electrophysiology. To access the final edited and published work see https://doi.org/10.1111/pace.13824
Abstract
Background Aortic stenosis is currently the most frequently occurring valve pathology. Developments, such as transcatheter prostheses and rapid deployment prostheses, allow for the offer of a valve replacement to higher risk patients, but these techniques are linked with a higher need for a permanent pacemaker during the immediate postoperative period. Methods We studied the incidence and the factors associated with permanent pacemaker implantation after aortic valve replacement with Edwards Intuity rapid deployment prosthesis. Results Between October 2012 and December 2016, the Edwards Intuity prosthesis was implanted in 71 patients (68% male, 75.3 ± 5 years old). Six patients (8%) required a permanent pacemaker during immediate postoperative period. Univariate analysis showed that a history of acute myocardial infarction (AMI) (P = .046, B = 7.5, 95% CI [1.039-54.1]) and preoperative amiodarone (P = .009, B = 31.5; 95% CI [2.32-426]) were associated with a higher need for a pacemaker during the postoperative period. Conclusions The incidence of permanent pacemaker implantation during the immediate postoperative period of aortic valve replacement with Edwards Intuity prosthesis was 8%, a value which is within the limits reported for conventional aortic prostheses. Preoperative amiodarone treatment and previous AMI may increase the need for a pacemaker during the postoperative period of these aortic prostheses.
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Amiodarone , Aortic stenosis , Aortic valve replacement , Postoperative permanent pacemaker , Rapiddeployment aortic valve
Citation
Pacing and Clinical Electrophysiology, 2019, Vol. 42, Issue 12, pp. 1534-1540
URI
http://hdl.handle.net/10201/143223
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