Key result
Transcatheter aortic valve implantation is associated with a high incidence of postoperative atrioventricular conduction disorders, which remains a serious problem as indications expand.
Why the study?
Despite reduced procedural complications with TAVI, the high incidence of postoperative atrioventricular conduction disorders remains a serious problem, especially with expanding indications in younger patients.
This review highlights the persistent challenge of postoperative AV conduction disorders following TAVI and discusses approaches to reduce their incidence, which is particularly relevant as indications expand to younger patients.
High post-TAVI AV conduction disorder rates require vigilant monitoring; leaves open optimal prevention strategies in severe AS.
Aortic stenosis (AS) is the most common valvular disease in developed countries. Transcatheter aortic valve implantation (TAVI) is an efficient and safe procedure in the treatment of severe aortic stenosis with low risk of procedural complications. Indeed, accumulation of surgical experience has significantly reduced the incidence of procedural complications. However, high incidence of postoperative disorders of atrioventricular (AV) conduction is still a serious problem. This issue becomes even more important considering expansion of indications for TAVI in younger patients. This review is devoted to modern data on AV conduction disorders after TAVI and approaches to reducing the incidence of these complications.
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Baranov et al. (2023) conducted a review in Severe aortic stenosis. Transcatheter aortic valve implantation (TAVI) was evaluated. Transcatheter aortic valve implantation is associated with a high incidence of postoperative atrioventricular conduction disorders, which remains a serious problem as indications expand.
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