Impact of implantation technique on conduction disturbances for TAVR with the self-expanding portico/navitor valve

Article Cardiac & Cardiovascular Systems

Permanent Pacemaker Reduction Using Cusp-Overlapping Projection in TAVR

Isaac Pascual et al.

Summary: This study aimed to determine whether modifying the implantation technique for self-expanding transcatheter aortic valve replacement results in a higher implantation depth and reduces the rate of permanent pacemaker implantation.

JACC-CARDIOVASCULAR INTERVENTIONS (2022)

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Article Cardiac & Cardiovascular Systems

Systematic Approach to High Implantation of SAPIEN-3 Valve Achieves a Lower Rate of Conduction Abnormalities Including Pacemaker Implantation

Yasser Sammour et al.

Summary: The study showed that using a high deployment technique for the S3 valve can significantly reduce conduction abnormalities and permanent pacemaker requirement after transcatheter aortic valve replacement. The novel technique consistently achieves higher implantation without compromising procedural safety or valve hemodynamics in a cohort of 1028 patients.

CIRCULATION-CARDIOVASCULAR INTERVENTIONS (2021)

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Article Cardiac & Cardiovascular Systems

Double S-Curve Versus Cusp-Overlap Technique Defining the Optimal Fluoroscopic Projection for TAVR With a Self-Expanding Device

Jeremy Ben-Shoshan et al.

Summary: The double S-curve and cusp-overlap methods provide comparable TAVR projections, mostly in the RAO and CAU positions. TAVR using the double S-curve model is associated with high device success and low complication rates.

JACC-CARDIOVASCULAR INTERVENTIONS (2021)

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Review Cardiac & Cardiovascular Systems

Incidence, Predictors, and Implications of Permanent Pacemaker Requirement After Transcatheter Aortic Valve Replacement

Yasser Sammour et al.

Summary: Transcatheter aortic valve replacement (TAVR) is a safe alternative to surgery for patients with severe aortic stenosis, but conduction abnormalities requiring permanent pacemaker (PPM) implantation after the procedure are common and need to be carefully monitored. Research suggests that pre-existing conduction abnormalities may increase the risk of PPM implantation and mortality after TAVR.

JACC-CARDIOVASCULAR INTERVENTIONS (2021)

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Editorial Material Cardiac & Cardiovascular Systems

Technical Considerations for Transcatheter Aortic Valve Replacement With ACURATE neo2

Ivan Wong et al.

JACC-CARDIOVASCULAR INTERVENTIONS (2021)

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Review Cardiac & Cardiovascular Systems

Cusp Overlap Technique: Should It Become the Standard Implantation Technique for Self-expanding Valves?

Aditya Sengupta et al.

Summary: The review discusses the importance of accurate imaging of the aortic root during valve implantation for proper prosthesis positioning during TAVR. It suggests that routine use of the cusp-overlap view with certain self-expanding valve systems may lead to lower rates of permanent pacemaker implantation and more precise control of valve implant depth. Further studies are needed to confirm the benefits of this approach across different self-expanding systems.

CURRENT CARDIOLOGY REPORTS (2021)

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Article Cardiac & Cardiovascular Systems

Impact of Cusp-Overlap View for TAVR with Self-Expandable Valves on 30-Day Conduction Disturbances

Oscar A. Mendiz et al.

Summary: This study compared the incidence of LBBB and PPMI in patients undergoing TAVR with different implantation views, finding a significant reduction in LBBB and PPMI rates when using the COVL view. The TAVR outcomes were not compromised when using this view for implantation.

JOURNAL OF INTERVENTIONAL CARDIOLOGY (2021)

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Article Cardiac & Cardiovascular Systems

Impact of implantation depth on outcomes of new-generation balloon-expandable transcatheter heart valves

Won-Keun Kim et al.

Summary: This study analyzed the impact of implantation depth on procedural outcomes in patients undergoing TAVR with balloon-expandable prostheses. The results showed that a higher device position was associated with improved outcomes.

CLINICAL RESEARCH IN CARDIOLOGY (2021)

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Article Cardiac & Cardiovascular Systems

Patient-Specific Implantation Technique to Obtain Neo-Commissural Alignment With Self-Expanding Transcatheter Aortic Valves

Gintautas Bieliauskas et al.

Summary: This study investigates a patient-specific implantation technique during TAVR to achieve safe and reproducible neo-commissural alignment of self-expanding transcatheter heart valves. The results suggest that this technique is feasible and safe in achieving optimal commissural alignment during TAVR procedures.

JACC-CARDIOVASCULAR INTERVENTIONS (2021)

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Article Cardiac & Cardiovascular Systems