Details

Autor(en) / Beteiligte

• Berman, Eliza
• Abu-Much, Arsalan
• Reisman, Mark
• Matzko, Nathan E.
• Dizon, Jose M.
• Redfors, Bjӧrn
• Alu, Maria C.
• Nazif, Tamim M.
• Leon, Martin B.
• Chen, Shmuel

Titel

Contemporary Review of the Methods for Rapid Ventricular Pacing During Transcatheter Aortic Valve Replacement

Ist Teil von

• Structural heart (Online), 2024-06, p.100306, Article 100306

Ort / Verlag

Elsevier Inc

Erscheinungsjahr

2024

Link zum Volltext

Quelle

Alma/SFX Local Collection

Beschreibungen/Notizen

• Transcatheter aortic valve replacement (TAVR) is a widely accepted treatment strategy for patients with severe aortic stenosis across all risk profiles. Pacing stimulation of the right ventricle (RV) is the conventional method used during TAVR for rapid pacing during balloon dilatation and transcatheter heart valve deployment and for the management of acute bradyarrhythmias. However, RV pacing requires additional venous access and carries a risk of RV perforation and cardiac tamponade. An alternate strategy of utilizing the stiff guidewire in the left ventricle for direct left ventricle pacing during valve deployment is increasingly being adopted, as it may reduce procedure cost, duration, and radiation exposure and potentially mitigate the risks associated with RV pacing. The current review aims to discuss contemporary rapid pacing techniques for TAVR, including their relative safety, efficiency, and outcomes. •Rapid ventricular pacing is necessary during transcatheter aortic valve replacement and is typically done via stimulation of the right ventricle.•Left ventricular pacing has similar efficacy to right ventricular pacing, with possible improved safety.•Large prospective trials are needed to compare the safety and efficacy of these pacing strategies. [Display omitted]