Management of Conduction Disturbances Associated With Transcatheter Aortic Valve Replacement: JACC Scientific Expert Panel

J. Rodés-Cabau, Kenneth A. Ellenbogen, Andrew D. Krahn, A. Latib, Michael Mack, Suneet Mittal, Guillem Muntané-Carol, Tamim M. Nazif, Lars Sondergaard, Marina Urena, Stephan Windecker, François Philippon

Research output: Contribution to journalReview articlepeer-review

51 Scopus citations

Abstract

Despite major improvements in transcatheter aortic valve replacement (TAVR) periprocedural complications in recent years, the occurrence of conduction disturbances has not decreased over time and remains the most frequent complication of the procedure. Additionally, there has been an important lack of consensus on the management of these complications, which has indeed translated into a high degree of uncertainty regarding the most appropriate treatment of a large proportion of such patients along with major differences between centers and studies in pacemaker rates post-TAVR. There is therefore an urgent need for a uniform strategy regarding the management of conduction disturbances after TAVR. The present expert consensus scientific panel document has been formulated by a multidisciplinary group of interventional cardiologists, electrophysiologists, and cardiac surgeons as an initial attempt to provide a guide for the management of conduction disturbances after TAVR based on the best available data and group expertise.

Original languageEnglish (US)
Pages (from-to)1086-1106
Number of pages21
JournalJournal of the American College of Cardiology
Volume74
Issue number8
DOIs
StatePublished - Aug 27 2019
Externally publishedYes

Keywords

  • aortic stenosis
  • conduction disturbances
  • pacemaker
  • transcatheter aortic valve replacement

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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