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Incidence and causes of pacemaker implantation during postoperative period of aortic valve replacement with rapid deployment prosthesis
Author(s) -
Arribas José María,
Soriano Laura,
RiveraCaravaca José Miguel,
Lorenzo Maydelin,
Muñoz Carmen,
Taboada Rubén,
Jiménez Antonio,
Martínez Juan,
GarcíaPuente Julio,
Gutiérrez Francisco,
Manzano Sergio,
Cánovas Sergio
Publication year - 2019
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1111/pace.13824
Subject(s) - medicine , aortic valve replacement , prosthesis , amiodarone , myocardial infarction , surgery , incidence (geometry) , permanent pacemaker , aortic valve , cardiology , valve replacement , stenosis , atrial fibrillation , physics , optics
Background Aortic stenosis is currently the most frequently occurring valve pathology. Developments, such as transcatheter prostheses and rapid deployment prostheses, allow for the offer of a valve replacement to higher risk patients, but these techniques are linked with a higher need for a permanent pacemaker during the immediate postoperative period. Methods We studied the incidence and the factors associated with permanent pacemaker implantation after aortic valve replacement with Edwards Intuity rapid deployment prosthesis. Results Between October 2012 and December 2016, the Edwards Intuity prosthesis was implanted in 71 patients (68% male, 75.3 ± 5 years old). Six patients (8%) required a permanent pacemaker during immediate postoperative period. Univariate analysis showed that a history of acute myocardial infarction (AMI) ( P = .046, B = 7.5, 95% CI [1.039‐54.1]) and preoperative amiodarone ( P = .009, B = 31.5; 95% CI [2.32‐426]) were associated with a higher need for a pacemaker during the postoperative period. Conclusions The incidence of permanent pacemaker implantation during the immediate postoperative period of aortic valve replacement with Edwards Intuity prosthesis was 8%, a value which is within the limits reported for conventional aortic prostheses. Preoperative amiodarone treatment and previous AMI may increase the need for a pacemaker during the postoperative period of these aortic prostheses.