Incidence and Predictors of Permanent Pacemaker Implantation After Transcatheter Aortic Valve Implantation With a Balloon-Expandable Biosprosthesis in Patients With Bicuspid Aortic Valves

dc.authorscopusid 56685585700
dc.authorscopusid 36494707500
dc.authorscopusid 57189903577
dc.authorscopusid 57190380616
dc.authorscopusid 7003971982
dc.contributor.author Suygun, Hakan
dc.contributor.author Kasapkara, Haci Ahmet
dc.contributor.author Guney, Murat Can
dc.contributor.author Polat, Melike
dc.contributor.author Bozkurt, Engin
dc.date.accessioned 2024-11-05T20:19:03Z
dc.date.available 2024-11-05T20:19:03Z
dc.date.issued 2024
dc.department Atılım University en_US
dc.department-temp [Suygun, Hakan] Karamanoglu Mehmetbey Univ, Karaman Training & Res Hosp, Fac Med, Dept Cardiol, Karaman, Turkiye; [Kasapkara, Haci Ahmet] Ankara Yildirim Beyazit Univ, Ankara Bilkent City Hosp, Fac Med, Dept Cardiol, Ankara, Turkiye; [Guney, Murat Can; Polat, Melike] Atilim Univ, Medicana Int Ankara Hosp, Fac Med, Dept Cardiol, Ankara, Turkiye; [Bozkurt, Engin] Medicana Int Ankara Hosp, Dept Cardiol, Ankara, Turkiye en_US
dc.description.abstract Introduction:<br /> There are few data on permanent pacemaker implantation (PPMI) in patients who have undergone transcatheter aortic valve implantation (TAVI) for bicuspid aortic valve (BAV) stenosis.<br /> <br /> Aim:<br /> The purpose of this study was to evaluate the predictors and incidence of PPMI in bicuspid patients using a balloon-expandable (BE) TAVI device.<br /> <br /> Material and methods:<br /> A total of 62 patients with bicuspid morphology who had undergone successful TAVI using a BE device without previous PPMI were included (retrospectively). Their baseline clinical, electrocardiographic (ECG), echocardiographic, and multislice computed tomography (MSCT) details were collected.<br /> <br /> Results:<br /> The incidence of PPMI after TAVI in this BAV cohort was 12.9%. All eight patients with PPMs were found to have type 1 left-right (LR) fusion morphology. In univariate analysis, the presence of right bundle branch block (RBBB) in preprocedural ECG ( p < 0.0001), short membraneous septum (MS) evaluated in MSCT ( p < 0.0001), and increased annulus-left main coronary artery distance ( p = 0.02) were statistically significant for PPMI. Among these parameters included in the model using multivariate Firth logistic regression analysis, the presence of preprocedural RBBB ( p = 0.001) and shortness of the MS in MSCT ( p = 0.004) were independent risk factors for predicting postprocedural PPMI in patients who underwent TAVI among those with BAV.<br /> <br /> Conclusions:<br /> Preprocedural RBBB on ECG and shorter MS are independent risk factors for PPMI after TAVI in BAV patients and these parameters should be considered before the procedure to guide clinical decision making. Type 1 LR patients may be considered at increased risk of PPMI. en_US
dc.description.woscitationindex Science Citation Index Expanded
dc.identifier.doi 10.5114/aic.2024.142240
dc.identifier.endpage 318 en_US
dc.identifier.issn 1734-9338
dc.identifier.issn 1897-4295
dc.identifier.issue 3 en_US
dc.identifier.pmid 39464586
dc.identifier.scopus 2-s2.0-85206607003
dc.identifier.scopusquality Q3
dc.identifier.startpage 311 en_US
dc.identifier.uri https://doi.org/10.5114/aic.2024.142240
dc.identifier.uri https://hdl.handle.net/20.500.14411/10255
dc.identifier.volume 20 en_US
dc.identifier.wos WOS:001337039800012
dc.identifier.wosquality Q4
dc.institutionauthor Güney, Murat Can
dc.language.iso en en_US
dc.publisher Termedia Publishing House Ltd en_US
dc.relation.publicationcategory Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı en_US
dc.rights info:eu-repo/semantics/openAccess en_US
dc.scopus.citedbyCount 2
dc.subject aortic valve stenosis en_US
dc.subject bicuspid aortic valve en_US
dc.subject transcatheter aortic valve implantation en_US
dc.subject transcatheter aortic valve replacement en_US
dc.subject pacemaker en_US
dc.title Incidence and Predictors of Permanent Pacemaker Implantation After Transcatheter Aortic Valve Implantation With a Balloon-Expandable Biosprosthesis in Patients With Bicuspid Aortic Valves en_US
dc.type Article en_US
dc.wos.citedbyCount 2
dspace.entity.type Publication
relation.isAuthorOfPublication f9c4eb42-12de-4fc4-8ddb-670f7dcd0594
relation.isAuthorOfPublication.latestForDiscovery f9c4eb42-12de-4fc4-8ddb-670f7dcd0594

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