Contemporary Review of the Methods for Rapid Ventricular Pacing During Transcatheter Aortic Valve Replacement

IF 1.4 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

Structural Heart Pub Date : 2025-02-01 DOI:10.1016/j.shj.2024.100306

Eliza Berman BSc , Arsalan Abu-Much MD , Mark Reisman MD , Nathan E. Matzko BSc , Jose M. Dizon MD , Bjӧrn Redfors MD, PhD , Maria C. Alu MS , Tamim M. Nazif MD , Martin B. Leon MD , Shmuel Chen MD, PhD

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Abstract

Transcatheter aortic valve replacement (TAVR) is a widely accepted treatment strategy for patients with severe aortic stenosis across all risk profiles. Pacing stimulation of the right ventricle (RV) is the conventional method used during TAVR for rapid pacing during balloon dilatation and transcatheter heart valve deployment and for the management of acute bradyarrhythmias. However, RV pacing requires additional venous access and carries a risk of RV perforation and cardiac tamponade. An alternate strategy of utilizing the stiff guidewire in the left ventricle for direct left ventricle pacing during valve deployment is increasingly being adopted, as it may reduce procedure cost, duration, and radiation exposure and potentially mitigate the risks associated with RV pacing. The current review aims to discuss contemporary rapid pacing techniques for TAVR, including their relative safety, efficiency, and outcomes.

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经导管主动脉瓣置换术中快速心室起搏方法的当代回顾

经导管主动脉瓣置换术（TAVR）是一种广泛接受的治疗策略，适用于各种风险的严重主动脉瓣狭窄患者。右心室起搏刺激（RV）是TAVR期间用于球囊扩张和经导管心脏瓣膜部署期间快速起搏以及急性慢速心律失常管理的常规方法。然而，右心室起搏需要额外的静脉通道，并且有右心室穿孔和心包填塞的风险。在瓣膜部署期间，利用左心室硬导丝进行左心室直接起搏的替代策略正被越来越多地采用，因为它可以降低手术成本、持续时间和辐射暴露，并潜在地降低右心室起搏相关的风险。本综述旨在讨论当代TAVR快速起搏技术，包括其相对安全性、有效性和结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Structural Heart Medicine-Cardiology and Cardiovascular Medicine

CiteScore

1.60

自引率

0.00%

发文量