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dc.contributor.authorUzun, Fazih
dc.contributor.authorBAKIR, İhsan
dc.contributor.authorTuren, Selahattin
dc.contributor.authorSatilmisoglu, Hulusi
dc.contributor.authorErol, Mustafa Kemal
dc.contributor.authorEksik, Abdurrahman
dc.contributor.authorGul, Mehmet
dc.contributor.authorUyarel, Huseyin
dc.contributor.authorSurgit, Ozgur
dc.contributor.authorYildirim, Aydin
dc.contributor.authorUslu, Nevzat
dc.contributor.authorAksu, Huseyin
dc.date.accessioned2022-02-18T10:20:21Z
dc.date.available2022-02-18T10:20:21Z
dc.date.issued2013
dc.identifier.citationEksik A., Gul M., Uyarel H., Surgit O., Yildirim A., Uslu N., Aksu H., Turen S., Uzun F., Satilmisoglu H., et al., "Electrophysiological Evaluation of Atrioventricular Conduction Disturbances in Transcatheter Aortic Valve Implantation With Edwards SAPIEN Prosthesis", JOURNAL OF INVASIVE CARDIOLOGY, cilt.25, sa.6, ss.305-309, 2013
dc.identifier.issn1042-3931
dc.identifier.othervv_1032021
dc.identifier.otherav_92fbe51a-2694-4546-96db-b4921620af97
dc.identifier.urihttp://hdl.handle.net/20.500.12627/179057
dc.description.abstractAims. Permanent pacemaker requirement is a known complication after transcatheter aortic valve implantation (TAVI). The aim of the present study was to analyze the effects of Edwards SAPIEN prosthesis implantation on atrioventricular conduction. Methods. The study included 28 patients who underwent TAVI due to severe aortic valve stenosis. An electrophysiological study was performed in the catheterization room immediately before the initial balloon valvuloplasty and immediately after Edwards SAPIEN prosthesis implantation. Results. His-ventricle interval was significantly prolonged postprocedure (55.9 +/- 11.5 ms) vs preprocedure (47.3 +/- 7.8 ms) (P<.001). The antegrade Wenckebach point was observed to be significantly prolonged postprocedure (354.4 +/- 41.3 ms) vs preprocedure (333.7 +/- 45.4 ms) (P=.001). Despite atrial-His interval prolongation, it was not statistically significant. After the procedure, we observed significant conduction disturbances in 3 patients (10.7%). These conduction problems recovered before discharge. One of the patients (3.6%) with right bundle branch block + left anterior fascicular block required permanent pacemaker implantation. At postprocedure electrocardiogram, QRS duration increased, QRS axis shifted to the left, and both of the values became normal before discharge. The patient's echocardiographic and clinical parameters were improved during follow-up. Conclusion. The effect of Edwards SAPIEN on the conduction system was mostly infranodal and temporary. The physical properties of the Edwards SAPIEN prosthesis may explain this observation. This complication may be lessened if the frame height characteristics can be improved.
dc.language.isoeng
dc.subjectCardiology and Cardiovascular Medicine
dc.subjectHealth Sciences
dc.subjectKardiyoloji
dc.subjectDahili Tıp Bilimleri
dc.subjectSağlık Bilimleri
dc.subjectTıp
dc.subjectKlinik Tıp (MED)
dc.subjectKlinik Tıp
dc.subjectCARDIAC ve CARDIOVASCULAR SİSTEMLER
dc.titleElectrophysiological Evaluation of Atrioventricular Conduction Disturbances in Transcatheter Aortic Valve Implantation With Edwards SAPIEN Prosthesis
dc.typeMakale
dc.relation.journalJOURNAL OF INVASIVE CARDIOLOGY
dc.contributor.departmentIstanbul Mehmet Akif Ersoy Thorac Cardiovasc Trai , ,
dc.identifier.volume25
dc.identifier.issue6
dc.identifier.startpage305
dc.identifier.endpage309
dc.contributor.firstauthorID3381079


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