Aortic annulus to left coronary distance as a predictor for persistent left bundle branch block after TAVI.
Catheter Cardiovasc Interv
; 89(4): E162-E168, 2017 Mar 01.
Article
em En
| MEDLINE
| ID: mdl-27038099
ABSTRACT
OBJECTIVES:
To identify potential predictors for ventricular conduction delay and to evaluate the impact of interventricular dyssynchrony on mortality after implantation of a balloon-expandable aortic valve (BEV). METHODS ANDRESULTS:
Clinical, computertomographical (CT), and electrocardiographical (ECG) data from 225 transcatheter aortic valve implantation (TAVI) patients were analyzed. Procedures were performed between May 2010 and September 2013 via transfemoral access using a BEV. Incidence of new-onset left bundle branch block (NOP-LBBB) at discharge was 23.1% (n = 52). Predictive factors for NOP-LBBB were first degree atrioventricular (AV) block (odds ratio (OR) 3.91, 95% confidence interval (CI) 1.58 to 9.64), area cover index (OR 1.83, 95% CI 1.26 to 2.67), annulus calcification > first degree (OR 3.01, 95% CI 1.36 to 6.66), and annulus to left coronary distance (OR 0.65, 95% CI 0.44 to 0.96). At 1-year follow-up, no significant difference was observed concerning all-cause mortality (15.6% among non NOP-LBBB and 9.6% among NOP-LBBB patients, P = 0.278) and cardiovascular mortality (4.6% among non NOP-LBBB and 5.8% among NOP-LBBB patients, P = 0.737).CONCLUSION:
In addition to previous predictors, annulus to left coronary distance and area cover index have been identified as new predictors for NOP-LBBB. NOP-LBBB showed no relevant impact on mortality after one year. Further investigation including larger populations and longer follow-up is required to confirm these findings and develop an algorithm for identification of patients at risk for NOP-LBBB associated adverse events. © 2016 Wiley Periodicals, Inc.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Aorta Torácica
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Estenose da Valva Aórtica
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Bloqueio de Ramo
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Próteses Valvulares Cardíacas
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Medição de Risco
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Vasos Coronários
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Substituição da Valva Aórtica Transcateter
Tipo de estudo:
Diagnostic_studies
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Etiology_studies
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Incidence_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Aged80
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Female
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Humans
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Male
Idioma:
En
Revista:
Catheter Cardiovasc Interv
Assunto da revista:
CARDIOLOGIA
Ano de publicação:
2017
Tipo de documento:
Article
País de afiliação:
Alemanha