IMPLANTATION OF SELF-EXPANDING TRANSCATHETER HEART VALVES IN THE ANNULAR PLANE IS ASSOCIATED WITH LOW IMPLANT DEPTHS AND PACEMAKER RATES

M J Daniels; Anthony Pisaniello; Douglas Fraser; Haytham Makki; Saleem Jahangeer; Ragheb Hasan

doi:10.1016/S0735-1097(20)32096-9

IMPLANTATION OF SELF-EXPANDING TRANSCATHETER HEART VALVES IN THE ANNULAR PLANE IS ASSOCIATED WITH LOW IMPLANT DEPTHS AND PACEMAKER RATES

M J Daniels, Anthony Pisaniello, Douglas Fraser, Haytham Makki, Saleem Jahangeer, Ragheb Hasan

Division of Cardiovascular Sciences (L5)

Research output: Contribution to journal › Article › peer-review

Abstract

Permanent pacemaker implantation (PPI) has been shown to occur more frequently with self-expanding (SE) compared to balloon-expandable (BE) TAVR valves, with a 17% incidence in a recent clinical trial. For the Evolut SE valve range, the manufacturer recommends a depth of implantation (DOI) 3-5 mm below the annulus in a plane coaxial to the device. This depth may not be consistent circumferentially if not in the annular plane. We hypothesized that valve implantation in the annular plane would result in low PPI rates by preventing deep implantation.

Original language	English
Journal	Journal of the American College of Cardiology
DOIs	https://doi.org/10.1016/S0735-1097(20)32096-9
Publication status	Published - Mar 2020

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title = "IMPLANTATION OF SELF-EXPANDING TRANSCATHETER HEART VALVES IN THE ANNULAR PLANE IS ASSOCIATED WITH LOW IMPLANT DEPTHS AND PACEMAKER RATES",

abstract = "Permanent pacemaker implantation (PPI) has been shown to occur more frequently with self-expanding (SE) compared to balloon-expandable (BE) TAVR valves, with a 17% incidence in a recent clinical trial. For the Evolut SE valve range, the manufacturer recommends a depth of implantation (DOI) 3-5 mm below the annulus in a plane coaxial to the device. This depth may not be consistent circumferentially if not in the annular plane. We hypothesized that valve implantation in the annular plane would result in low PPI rates by preventing deep implantation.",

author = "Daniels, {M J} and Anthony Pisaniello and Douglas Fraser and Haytham Makki and Saleem Jahangeer and Ragheb Hasan",

year = "2020",

month = mar,

doi = "10.1016/S0735-1097(20)32096-9",

language = "English",

journal = "Journal of the American College of Cardiology",

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AU - Daniels, M J

AU - Pisaniello, Anthony

AU - Fraser, Douglas

AU - Makki, Haytham

AU - Jahangeer, Saleem

AU - Hasan, Ragheb

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N2 - Permanent pacemaker implantation (PPI) has been shown to occur more frequently with self-expanding (SE) compared to balloon-expandable (BE) TAVR valves, with a 17% incidence in a recent clinical trial. For the Evolut SE valve range, the manufacturer recommends a depth of implantation (DOI) 3-5 mm below the annulus in a plane coaxial to the device. This depth may not be consistent circumferentially if not in the annular plane. We hypothesized that valve implantation in the annular plane would result in low PPI rates by preventing deep implantation.

AB - Permanent pacemaker implantation (PPI) has been shown to occur more frequently with self-expanding (SE) compared to balloon-expandable (BE) TAVR valves, with a 17% incidence in a recent clinical trial. For the Evolut SE valve range, the manufacturer recommends a depth of implantation (DOI) 3-5 mm below the annulus in a plane coaxial to the device. This depth may not be consistent circumferentially if not in the annular plane. We hypothesized that valve implantation in the annular plane would result in low PPI rates by preventing deep implantation.

U2 - 10.1016/S0735-1097(20)32096-9

DO - 10.1016/S0735-1097(20)32096-9

M3 - Article

SN - 0735-1097

JO - Journal of the American College of Cardiology

JF - Journal of the American College of Cardiology

ER -

IMPLANTATION OF SELF-EXPANDING TRANSCATHETER HEART VALVES IN THE ANNULAR PLANE IS ASSOCIATED WITH LOW IMPLANT DEPTHS AND PACEMAKER RATES

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