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

dc.contributor.authorArribas, José María
dc.contributor.authorSoriano, Laura
dc.contributor.authorRivera Caravaca, José Miguel
dc.contributor.authorLorenzo, Maydelin
dc.contributor.authorMuñoz, Carmen
dc.contributor.authorTaboada, Rubén
dc.contributor.authorJiménez, Antonio
dc.contributor.authorMartínez, Juan
dc.contributor.authorGarcía Puente, Julio
dc.contributor.authorGutiérrez, Francisco
dc.contributor.authorManzano, Sergio
dc.contributor.authorCánovas López, Sergio
dc.contributor.departmentCirugía, Pediatría y Obstetricia y Ginecología
dc.date.accessioned2024-07-18T11:28:01Z
dc.date.available2024-07-18T11:28:01Z
dc.date.issued2019-12
dc.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
dc.description.abstractBackground 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.es
dc.formatapplication/pdfes
dc.format.extent6es
dc.identifier.citationPacing and Clinical Electrophysiology, 2019, Vol. 42, Issue 12, pp. 1534-1540
dc.identifier.doihttps://doi.org/10.1111/pace.13824
dc.identifier.issnPrint: 0147-8389
dc.identifier.issnElectronic: 1540-8159
dc.identifier.urihttp://hdl.handle.net/10201/143223
dc.languageenges
dc.publisherWiley
dc.relationSin financiación externa a la Universidades
dc.relation.publisherversionhttps://onlinelibrary.wiley.com/doi/10.1111/pace.13824
dc.rights.accessRightsinfo:eu-repo/semantics/restrictedAccess
dc.subjectAmiodaronees
dc.subjectAortic stenosises
dc.subjectAortic valve replacementes
dc.subjectPostoperative permanent pacemakeres
dc.subjectRapiddeployment aortic valvees
dc.titleIncidence and causes of pacemaker implantation during postoperative period of aortic valve replacement with rapid deployment prosthesises
dc.typeinfo:eu-repo/semantics/articlees
dspace.entity.typePublicationes
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