Is electrophysiological study a novel predictor for permanent pacemaker implantation after transcatheter aortic valve implantation?

Cetinkaya, Zeki; elcik, deniz; Kelesoglu, Saban; cesur, burak; Yasan, Mustafa; karabıyık, uğur; Bingol, Bilge; kalay, nihat; TOPSAKAL, RAMAZAN; TUNÇAY, AYDIN; Dogan, Ali; Inanc, Mehmet Tugrul

doi:10.55730/1300-0144.5750

Is electrophysiological study a novel predictor for permanent pacemaker implantation after transcatheter aortic valve implantation?

Zeki ÇETİNKAYA, (Elazığ Fethi Sekin Şehir Hastanesi, Kardiyoloji Bölümü, Elazığ, Türkiye)

Deniz ELÇİK, (Erciyes Üniversitesi, Tıp Fakültesi, Kardiyoloji Anabilim Dalı, Kayseri, Türkiye)

Şaban KELEŞOĞLU, (Erciyes Üniversitesi, Tıp Fakültesi, Kardiyoloji Anabilim Dalı, Kayseri, Türkiye)

Burak CESUR, (Kayseri Devlet Hastanesi, Kardiyoloji Bölümü, Kayseri, Türkiye)

Mustafa YAŞAN, (Kastamonu Eğitim ve Araştırma Hastanesi, Kardiyoloji Bölümü, Kastamonu, Türkiye)

Uğur KARABIYIK, (Niğde Eğitim ve Araştırma Hastanesi, Kardiyoloji Bölümü, Niğde, Türkiye)

Bilge BİNGÖL, (Kırşehir Eğitim ve Araştırma Hastanesi, Kardiyoloji Bölümü, Kırşehir, Türkiye)

Nihat KALAY, (Erciyes Üniversitesi, Tıp Fakültesi, Kardiyoloji Anabilim Dalı, Kayseri, Türkiye)

Ramazan TOPSAKAL, (Erciyes Üniversitesi, Tıp Fakültesi, Kardiyoloji Anabilim Dalı, Kayseri, Türkiye)

Aydın TUNÇAY, (Erciyes Üniversitesi, Tıp Fakültesi, Kalp Damar Cerrahisi Anabilim Dalı, Kayseri, Türkiye)

Ali DOĞAN, (Erciyes Üniversitesi, Tıp Fakültesi, Kardiyoloji Anabilim Dalı, Kayseri, Türkiye)

Mehmet Tuğrul İNANÇ, (Erciyes Üniversitesi, Tıp Fakültesi, Kardiyoloji Anabilim Dalı, Kayseri, Türkiye)

Diğer Yazarlar

Turkish Journal of Medical Sciences

6 1

Yıl: 2023 Cilt: 53 Sayı: 6 Sayfa Aralığı: 1799 - 1806 Metin Dili: İngilizce DOI: 10.55730/1300-0144.5750 İndeks Tarihi: 18-01-2024

Is electrophysiological study a novel predictor for permanent pacemaker implantation after transcatheter aortic valve implantation?

Öz:

Background/aim: Despite advancements in valve technology and increased clinical experience, complications related to conduction defects after transcatheter aortic valve implantation (TAVR) have not improved as rapidly as expected. In this study, we aimed to predict the development of complete atrioventricular (AV) block and bundle branch block during and after the TAVR procedure and to investigate any changes in the cardiac conduction system before and after the procedure using electrophysiological study. Materials and methods: A total of 30 patients who were scheduled for TAVR at our cardiovascular council were planned to be included in the study. TAVR was performed on patients at Erciyes University Medical Faculty Hospital as a single center between May 2019 and August 2020 Diagnostic electrophysiological study was performed before the TAVR procedure and after its completion. Changes in the cardiac conduction system during the preprocedure, intra-procedure, and postprocedure periods were recorded. Results: Significant increases in baseline cycle length, atrial-His (AH) interval, his-ventricular (HV) interval and atrioventricular (AV) distance were observed before and after the TAVR procedure (p = 0.039, p < 0.001, p = 0.018, p < 0.001, respectively). During the TAVR procedure, the preprocedural HV interval was longer in patients who developed AV block and bundle branch block compared to those who did not and this difference was statistically significant (p = 0.024). ROC curve analysis revealed that a TAVR preprocedure HV value >59.5 ms had 86% specificity and 75% sensitivity in detecting AV block and bundle branch block (AUC = 0.83, 95% CI: 0.664–0.996, p = 0.013). The preprocedure HV distance was 98 ± 10.55ms in the group with permanent pacemaker implantation and the mean value in the group without permanent pacemaker implantation was 66.27 ± 15.55 ms, showing a borderline significant difference (p = 0.049). Conclusion: The prolongation of HV interval in patients with AV block and bundle branch block suggests that the block predominantly occurs at the infra-hisian level. Patients with longer preprocedural HV intervals should be closely monitored for the need for permanent pacemaker implantation after the TAVR procedure.

Anahtar Kelime: Transcatheter aortic valve implantation bundle branch block AV block atrial-his interval

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	Cetinkaya Z, elcik d, Kelesoglu S, cesur b, Yasan M, karabıyık u, Bingol B, kalay n, TOPSAKAL R, TUNÇAY A, Dogan A, Inanc M (2023). Is electrophysiological study a novel predictor for permanent pacemaker implantation after transcatheter aortic valve implantation?. , 1799 - 1806. 10.55730/1300-0144.5750
Chicago	Cetinkaya Zeki,elcik deniz,Kelesoglu Saban,cesur burak,Yasan Mustafa,karabıyık uğur,Bingol Bilge,kalay nihat,TOPSAKAL RAMAZAN,TUNÇAY AYDIN,Dogan Ali,Inanc Mehmet Tugrul Is electrophysiological study a novel predictor for permanent pacemaker implantation after transcatheter aortic valve implantation?. (2023): 1799 - 1806. 10.55730/1300-0144.5750
MLA	Cetinkaya Zeki,elcik deniz,Kelesoglu Saban,cesur burak,Yasan Mustafa,karabıyık uğur,Bingol Bilge,kalay nihat,TOPSAKAL RAMAZAN,TUNÇAY AYDIN,Dogan Ali,Inanc Mehmet Tugrul Is electrophysiological study a novel predictor for permanent pacemaker implantation after transcatheter aortic valve implantation?. , 2023, ss.1799 - 1806. 10.55730/1300-0144.5750
AMA	Cetinkaya Z,elcik d,Kelesoglu S,cesur b,Yasan M,karabıyık u,Bingol B,kalay n,TOPSAKAL R,TUNÇAY A,Dogan A,Inanc M Is electrophysiological study a novel predictor for permanent pacemaker implantation after transcatheter aortic valve implantation?. . 2023; 1799 - 1806. 10.55730/1300-0144.5750
Vancouver	Cetinkaya Z,elcik d,Kelesoglu S,cesur b,Yasan M,karabıyık u,Bingol B,kalay n,TOPSAKAL R,TUNÇAY A,Dogan A,Inanc M Is electrophysiological study a novel predictor for permanent pacemaker implantation after transcatheter aortic valve implantation?. . 2023; 1799 - 1806. 10.55730/1300-0144.5750
IEEE	Cetinkaya Z,elcik d,Kelesoglu S,cesur b,Yasan M,karabıyık u,Bingol B,kalay n,TOPSAKAL R,TUNÇAY A,Dogan A,Inanc M "Is electrophysiological study a novel predictor for permanent pacemaker implantation after transcatheter aortic valve implantation?." , ss.1799 - 1806, 2023. 10.55730/1300-0144.5750
ISNAD	Cetinkaya, Zeki vd. "Is electrophysiological study a novel predictor for permanent pacemaker implantation after transcatheter aortic valve implantation?". (2023), 1799-1806. https://doi.org/10.55730/1300-0144.5750

APA	Cetinkaya Z, elcik d, Kelesoglu S, cesur b, Yasan M, karabıyık u, Bingol B, kalay n, TOPSAKAL R, TUNÇAY A, Dogan A, Inanc M (2023). Is electrophysiological study a novel predictor for permanent pacemaker implantation after transcatheter aortic valve implantation?. Turkish Journal of Medical Sciences, 53(6), 1799 - 1806. 10.55730/1300-0144.5750
Chicago	Cetinkaya Zeki,elcik deniz,Kelesoglu Saban,cesur burak,Yasan Mustafa,karabıyık uğur,Bingol Bilge,kalay nihat,TOPSAKAL RAMAZAN,TUNÇAY AYDIN,Dogan Ali,Inanc Mehmet Tugrul Is electrophysiological study a novel predictor for permanent pacemaker implantation after transcatheter aortic valve implantation?. Turkish Journal of Medical Sciences 53, no.6 (2023): 1799 - 1806. 10.55730/1300-0144.5750
MLA	Cetinkaya Zeki,elcik deniz,Kelesoglu Saban,cesur burak,Yasan Mustafa,karabıyık uğur,Bingol Bilge,kalay nihat,TOPSAKAL RAMAZAN,TUNÇAY AYDIN,Dogan Ali,Inanc Mehmet Tugrul Is electrophysiological study a novel predictor for permanent pacemaker implantation after transcatheter aortic valve implantation?. Turkish Journal of Medical Sciences, vol.53, no.6, 2023, ss.1799 - 1806. 10.55730/1300-0144.5750
AMA	Cetinkaya Z,elcik d,Kelesoglu S,cesur b,Yasan M,karabıyık u,Bingol B,kalay n,TOPSAKAL R,TUNÇAY A,Dogan A,Inanc M Is electrophysiological study a novel predictor for permanent pacemaker implantation after transcatheter aortic valve implantation?. Turkish Journal of Medical Sciences. 2023; 53(6): 1799 - 1806. 10.55730/1300-0144.5750
Vancouver	Cetinkaya Z,elcik d,Kelesoglu S,cesur b,Yasan M,karabıyık u,Bingol B,kalay n,TOPSAKAL R,TUNÇAY A,Dogan A,Inanc M Is electrophysiological study a novel predictor for permanent pacemaker implantation after transcatheter aortic valve implantation?. Turkish Journal of Medical Sciences. 2023; 53(6): 1799 - 1806. 10.55730/1300-0144.5750
IEEE	Cetinkaya Z,elcik d,Kelesoglu S,cesur b,Yasan M,karabıyık u,Bingol B,kalay n,TOPSAKAL R,TUNÇAY A,Dogan A,Inanc M "Is electrophysiological study a novel predictor for permanent pacemaker implantation after transcatheter aortic valve implantation?." Turkish Journal of Medical Sciences, 53, ss.1799 - 1806, 2023. 10.55730/1300-0144.5750
ISNAD	Cetinkaya, Zeki vd. "Is electrophysiological study a novel predictor for permanent pacemaker implantation after transcatheter aortic valve implantation?". Turkish Journal of Medical Sciences 53/6 (2023), 1799-1806. https://doi.org/10.55730/1300-0144.5750