Advertisement

Incidence of Infranodal Conduction Delay in Patients with Left Bundle Branch Block after Transcatheter Aortic Valve Replacement: Impact of the 2021 ESC Guidelines for Cardiac Pacing

  • Author Footnotes
    ∗ Both authors contributed equally and should be considered shared first authors.
    Patrick Badertscher
    Footnotes
    ∗ Both authors contributed equally and should be considered shared first authors.
    Affiliations
    Department of Cardiology, University Hospital Basel, Basel, Switzerland

    Cardiovascular Research Institute Basel, University Hospital Basel, Basel, Switzerland
    Search for articles by this author
  • Author Footnotes
    ∗ Both authors contributed equally and should be considered shared first authors.
    Nina Mäder
    Footnotes
    ∗ Both authors contributed equally and should be considered shared first authors.
    Affiliations
    Department of Cardiology, University Hospital Basel, Basel, Switzerland

    Cardiovascular Research Institute Basel, University Hospital Basel, Basel, Switzerland
    Search for articles by this author
  • Teodor Serban
    Affiliations
    Department of Cardiology, University Hospital Basel, Basel, Switzerland

    Cardiovascular Research Institute Basel, University Hospital Basel, Basel, Switzerland
    Search for articles by this author
  • Thomas Nestelberger
    Affiliations
    Department of Cardiology, University Hospital Basel, Basel, Switzerland

    Cardiovascular Research Institute Basel, University Hospital Basel, Basel, Switzerland
    Search for articles by this author
  • Gregor Leibundgut
    Affiliations
    Department of Cardiology, University Hospital Basel, Basel, Switzerland

    Cardiovascular Research Institute Basel, University Hospital Basel, Basel, Switzerland
    Search for articles by this author
  • Christoph Kaiser
    Affiliations
    Department of Cardiology, University Hospital Basel, Basel, Switzerland

    Cardiovascular Research Institute Basel, University Hospital Basel, Basel, Switzerland
    Search for articles by this author
  • Stefan Osswald
    Affiliations
    Department of Cardiology, University Hospital Basel, Basel, Switzerland

    Cardiovascular Research Institute Basel, University Hospital Basel, Basel, Switzerland
    Search for articles by this author
  • Christian Sticherling
    Affiliations
    Department of Cardiology, University Hospital Basel, Basel, Switzerland

    Cardiovascular Research Institute Basel, University Hospital Basel, Basel, Switzerland
    Search for articles by this author
  • Author Footnotes
    # Both authors contributed equally and should be considered shared last authors
    Sven Knecht
    Footnotes
    # Both authors contributed equally and should be considered shared last authors
    Affiliations
    Department of Cardiology, University Hospital Basel, Basel, Switzerland

    Cardiovascular Research Institute Basel, University Hospital Basel, Basel, Switzerland
    Search for articles by this author
  • Author Footnotes
    # Both authors contributed equally and should be considered shared last authors
    Michael Kühne
    Correspondence
    Corresponding author: Michael Kühne, MD, University Hospital Basel, Petersgraben 4, 4031 Basel, Switzerland,
    Footnotes
    # Both authors contributed equally and should be considered shared last authors
    Affiliations
    Department of Cardiology, University Hospital Basel, Basel, Switzerland

    Cardiovascular Research Institute Basel, University Hospital Basel, Basel, Switzerland
    Search for articles by this author
  • Author Footnotes
    ∗ Both authors contributed equally and should be considered shared first authors.
    # Both authors contributed equally and should be considered shared last authors
Published:January 21, 2023DOI:https://doi.org/10.1016/j.hrthm.2023.01.019
      The occurrence of left bundle branch block (LBBB) after transcatheter aortic valve replacement (TAVR) remains the most frequent complication of the procedure.
      • Khatri P.J.
      • Webb J.G.
      • Rodés-Cabau J.
      • et al.
      Adverse effects associated with transcatheter aortic valve implantation: A meta-analysis of contemporary studies.
      ,
      • Badertscher P.
      • Knecht S.
      • Zeljković I.
      • et al.
      Management of conduction disorders after transcatheter aortic valve implantation: results of the EHRA survey.
      Electrophysiological (EP) testing is recommended with a IIa indication in the new 2021 ESC-guidelines for cardiac pacing

      Glikson M, Nielsen JC, Kronborg MB et al. 2021 ESC Guidelines on cardiac pacing and cardiac resynchronization therapy. Eur Heart J. 2021; 42:3427–3520.

      in patients with new LBBB with QRS ≥ 150ms or PR ≥ 240ms or with pre-existing LBBB with a delta of QRS/PR intervals of ≥ 20ms after TAVR. A cut-off for the HV interval ≥ 70 ms to consider PM implantation was suggested. However, evidence for these proposed cutoffs of the HV interval, QRS duration and PR interval is scarce in LBBB patients after TAVR.
      • Jørgensen T.H.
      • de Backer O.
      • Gerds T.A.
      • et al.
      Immediate Post-Procedural 12-Lead Electrocardiography as Predictor of Late Conduction Defects After Transcatheter Aortic Valve Replacement.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Heart Rhythm
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Khatri P.J.
        • Webb J.G.
        • Rodés-Cabau J.
        • et al.
        Adverse effects associated with transcatheter aortic valve implantation: A meta-analysis of contemporary studies.
        Ann Intern Med. 2013; 158: 35-46
        • Badertscher P.
        • Knecht S.
        • Zeljković I.
        • et al.
        Management of conduction disorders after transcatheter aortic valve implantation: results of the EHRA survey.
        EP Europace. 2022;
      1. Glikson M, Nielsen JC, Kronborg MB et al. 2021 ESC Guidelines on cardiac pacing and cardiac resynchronization therapy. Eur Heart J. 2021; 42:3427–3520.

        • Jørgensen T.H.
        • de Backer O.
        • Gerds T.A.
        • et al.
        Immediate Post-Procedural 12-Lead Electrocardiography as Predictor of Late Conduction Defects After Transcatheter Aortic Valve Replacement.
        JACC Cardiovasc Interv. 2018; 11: 1509-1518