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Case Reports
. 2020 Sep 24;7(1):8-11.
doi: 10.1016/j.hrcr.2020.09.005. eCollection 2021 Jan.

Percutaneous solution for a frequent complication after transcatheter aortic valve replacement: A case of atrioventricular leadless pacemaker implantation after transcatheter aortic valve replacement

Gillian Belnavis  1 , Harold Rivner  1 , Rosario Colombo  1 , Alfredo Rego  1 , Ivan Mendoza  1 , Cesar Mendoza  1 , Joao Braghiroli  1
Affiliations
Case Reports

Percutaneous solution for a frequent complication after transcatheter aortic valve replacement: A case of atrioventricular leadless pacemaker implantation after transcatheter aortic valve replacement

Gillian Belnavis et al. HeartRhythm Case Rep. .
No abstract available

Keywords: Aortic stenosis; Complete heart block; Leadless pacemaker; Left bundle branch block; Right bundle branch block; TAVR; Transcatheter aortic valve replacement.

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Figures

Figure 1
Figure 1
Electrocardiogram done prior to transcatheter aortic valve replacement showing first-degree atrioventricular block, right bundle branch block, and left anterior fascicular block
Figure 2
Figure 2
Electrocardiogram post transcatheter aortic valve replacement with implantation of AV Micra (Medtronic Inc, Mounds View, MN) showing atrial sensed ventricular paced rhythm with prolonged atrioventricular conduction.
See this image and copyright information in PMC

References

    1. Young Lee M., Chilakamarri Yeshwant S., Chava S., Lawrence Lustgarten D. Mechanisms of heart block after transcatheter aortic valve replacement - Cardiac anatomy, clinical predictors and mechanical factors that contribute to permanent pacemaker implantation. Arrhythm Electrophysiol Rev. 2015;4:81–85. - PMC - PubMed
    1. Bernard M.L. Pacing without wires: Leadless cardiac pacing. Ochsner J. 2016;16:238–242. - PMC - PubMed
    1. Gregoratos G. Indications and recommendations for pacemaker therapy. Am Fam Physician. 2005;71:1563–1570. - PubMed
    1. Auffret V., Puri R., Urena M. Conduction disturbances after transcatheter aortic valve replacement: Current status and future perspectives. Circulation. 2017;136:1049–1069. - PubMed
    1. Jilaihawi H., Zhao Z., Du R. Minimizing permanent pacemaker following repositionable self-expanding transcatheter aortic valve replacement. JACC Cardiovasc Interv. 2019;12:1796–1807. - PubMed

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